Individual provider · NPI-1

Dr. David Pothen Abraham, DO

Internal Medicine · Mount Vernon, WA

NPI number1215565692
StatusActive
Last updated in NPPESNov 19, 2024

Details

NPI
1215565692
Entity type
Individual (NPI-1)
Name
Dr. David Pothen Abraham
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Mar 31, 2020
Certification date
Nov 19, 2024
Last updated
Nov 19, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineOP61416743WAYes

Practice location

1801 E Division St
Mount Vernon, WA 98274-4632

Phone 360-424-4410 · Fax 360-424-0749

Mailing address

1400 E Kincaid St
Mount Vernon, WA 98274-4127

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