MEDICARE: DR. SHERRY LEE CAVANAGH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	MD60595416	WA
2	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	A107107	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255536090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHERRY LEE CAVANAGH M.D.

Provider Business Mailing Address
First Line	:	1100 9TH AVE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98101-2756
Country	:	US
Telephone Number	:	206-341-0708
Fax Number	:	206-341-0625

Provider Business Practice Location Address
First Line	:	1100 9TH AVE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98101-2756
Country	:	US
Telephone Number	:	206-341-0708
Fax Number	:	206-341-0625

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2007
Last Update Date	:	05/06/2026

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