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Contact Information

MIKKI SEAGREN, DO
1450 5TH ST SE STE 2100
PUYALLUP, WA98372-4693
 Phone: 253-697-1310
 Fax: 253-403-1676
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MIKKI SEAGREN · (Female)

NPI Number 1770789885
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/25/2007
Last updated 01/19/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • WA License # OP60291008
  • WI License # 1782
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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