IndividualActive
Michael Anderson, MD
NPI 1497740575 · Pediatric Adolescent Medicine Physician · Renton, WA
Provider details
- NPI number
- 1497740575
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- License
- MD00014404 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4011 Talbot Rd S
#220
Renton, WA 98055-5791
Phone: (425) 656-5300
Fax: (425) 656-5402
Approximate (ZIP-level) locationGet directions
Mailing address
4011 Talbot Rd S
Renton, WA 98055-5791
Registry dates
- Enumerated
- 2005-09-15
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.