Provider Demographics
NPI:1285663286
Name:AUBUCHON, JAMES PHILIP (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:PHILIP
Last Name:AUBUCHON
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 1:921 TERRY AVENUE
Mailing Address - Street 2:PUGET SOUND BLOOD CENTER
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-1000
Mailing Address - Country:US
Mailing Address - Phone:206-233-3300
Mailing Address - Fax:206-373-6635
Practice Address - Street 1:921 TERRY AVENUE
Practice Address - Street 2:PUGET SOUND BLOOD CENTER
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-1000
Practice Address - Country:US
Practice Address - Phone:206-233-3300
Practice Address - Fax:206-373-6635
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH8304207ZP0102X
WA60017128207ZB0001X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZB0001XAllopathic & Osteopathic PhysiciansPathologyBlood Banking & Transfusion Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0001087Medicaid
NH80001087Medicaid
VT0001087Medicaid
NHE44284Medicare UPIN