MEDICARE: HEATHER CAULFIELD

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	363A00000X	Physician Assistant		MA
2	363A00000X	Physician Assistant	PA61168900	WA

General Provider Information

NPI Number	:	1326593617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER CAULFIELD

Provider Business Mailing Address
First Line	:	1200 12TH AVE S STE 901
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98144-2712
Country	:	US
Telephone Number	:	508-532-7318
Fax Number	:	508-853-8593

Provider Business Practice Location Address
First Line	:	10521 MERIDIAN AVE N
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98133-9509
Country	:	US
Telephone Number	:	206-296-4990
Fax Number	:	206-205-5142

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

Provider Enumeration Date	:	08/17/2016
Last Update Date	:	03/09/2026

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Directions to “ HEATHER CAULFIELD ” Practice Location

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