Provider Demographics
NPI:1972036234
Name:MENDES, JULIANN MICHELLE (DO)
Entity type:Individual
Prefix:DR
First Name:JULIANN
Middle Name:MICHELLE
Last Name:MENDES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1834 NE PERKINS WAY
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98155-4031
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:19000 33RD AVE W STE 230
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-4752
Practice Address - Country:US
Practice Address - Phone:425-686-7138
Practice Address - Fax:425-745-4104
Is Sole Proprietor?:No
Enumeration Date:2017-04-04
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.015514207ZP0102X
WAOP61391981207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology