MEDICARE: SEATTLE SPINE & REHABILITATION MEDICINE PS

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	225400000X	Rehabilitation Practitioner	MD00031281	WA

General Provider Information

NPI Number	:	1578711677
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEATTLE SPINE & REHABILITATION MEDICINE PS

Provider Business Mailing Address
First Line	:	3213 EASTLAKE AVENUE EAST
Second Line	:	SUITE A1
City	:	SEATTLE
State	:	WA
Zip	:	98102-7127
Country	:	US
Telephone Number	:	206-861-8200
Fax Number	:

Provider Business Practice Location Address
First Line	:	3213 EASTLAKE AVE E
Second Line	:	SUITE A1
City	:	SEATTLE
State	:	WA
Zip	:	98102-7127
Country	:	US
Telephone Number	:	206-861-8200
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DOCTOR
Name	:	RICHARD E SEROUSSI
Credential	:	M.D.
Telephone Number	:	206-861-8200

Provider Enumeration Date	:	09/03/2008
Last Update Date	:	12/14/2010

Similar Medicare Providers

1104041516 — DR. ALMA JARED GARCIA D.O.
Practice Location Address:

3213 EASTLAKE AVE E STE A
SEATTLE, WA
98102-7127

Practice Phone: 206-861-8200
Practice Fax:

1427228980 — SUSAN SCHMITT
Practice Location Address:

3213 EASTLAKE AVE E APT A
SEATTLE, WA
98102-7127

Practice Phone: 206-861-8200
Practice Fax: 206-324-1178

1760631469 — MR. JOSEPH WILMHOFF ARNP
Practice Location Address:

3213 EASTLAKE AVE E STE A
SEATTLE, WA
98102-7127

Practice Phone: 206-861-8200
Practice Fax: 206-324-1178

1558601195 — SEATTLE SPINE AND REHABILITATION
Practice Location Address:

3213 EASTLAKE AVE E
SEATTLE, WA
98102-7127

Practice Phone: 206-861-8200
Practice Fax:

1356923353 — HARPER ZIMMER PA-C
Practice Location Address:

3213 EASTLAKE AVE E STE A
SEATTLE, WA
98102-7127

Practice Phone: 206-861-8200
Practice Fax: 206-324-1178

1487193272 — BONNIE IREY MA, LMHC
Practice Location Address:

2366 EASTLAKE AVE E STE 201
SEATTLE, WA
98102-6501

Practice Phone: 724-201-9885
Practice Fax:

Directions to “SEATTLE SPINE & REHABILITATION MEDICINE PS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.