Provider Demographics
NPI:1093840266
Name:SILVERMAN, DONALD RAY (MD)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:RAY
Last Name:SILVERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3718 48TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-5250
Mailing Address - Country:US
Mailing Address - Phone:206-524-5008
Mailing Address - Fax:206-524-5008
Practice Address - Street 1:3718 48TH AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-5250
Practice Address - Country:US
Practice Address - Phone:206-524-5008
Practice Address - Fax:206-524-5008
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00007068208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation