MEDICARE: UNIVERSITY OF WASHINGTON

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	261QI0500X	Infusion Therapy Clinic/Center

General Provider Information

NPI Number	:	1487517157
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY OF WASHINGTON

Provider Business Mailing Address
First Line	:	1536 N 115TH ST STE 115
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98133-8400
Country	:	US
Telephone Number	:	206-668-0111
Fax Number	:

Provider Business Practice Location Address
First Line	:	1536 N 115TH ST STE 115
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98133-8400
Country	:	US
Telephone Number	:	206-668-0111
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR REVENUE INTEGRITY
Name	:	ADRIENNE FERNANDEZ
Credential	:
Telephone Number	:	206-598-0281

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/09/2025

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Directions to “UNIVERSITY OF WASHINGTON ” Practice Location

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