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Specialty details in registry · Seattle, WA

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At a glance

1111 Harvard Ave, Seattle, WA 98122-4205

NPPES record updated Oct 20, 2016. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
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Insurance participation and appointment availability are not established by these public records.

Practice location

1111 Harvard Ave
Seattle, WA 98122-4205
Professional details: NPI, taxonomy & registry record
NPI1245781665
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251B00000X
Enumeration date
Oct 20, 2016
Record updated
Oct 20, 2016
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251B00000X · Primary

License reported: 602586838 WA

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1111 Harvard Ave
Seattle, WA 98122-4205
Phone
(206) 788-4024
Fax
(206) 382-3507
Mailing address
1111 HARVARD AVE

SEATTLE, WA 981224205
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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