Provider Demographics
NPI:1801939954
Name:CODAY, ARTHUR JR (MD)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:
Last Name:CODAY
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1648 N 180TH ST
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-4602
Mailing Address - Country:US
Mailing Address - Phone:206-542-7083
Mailing Address - Fax:425-672-1084
Practice Address - Street 1:19720 68TH AVE W
Practice Address - Street 2:SUITE B
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-4568
Practice Address - Country:US
Practice Address - Phone:425-776-8414
Practice Address - Fax:425-672-1084
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00037767208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0165878OtherDEPT. LABOR & INDUSTRIES
WAMD00037767OtherWA STATE MEDICAL LICENSE
WA8325664Medicaid
BC6837150OtherDEA LICENSE NUMBER
H78460Medicare UPIN