Healthcare Provider Details

I. General information

NPI: 1447991419
Provider Name (Legal Business Name): WHITNEY MICHELE KEIFFER-SHARP DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2022
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

875 WESLEY ST STE 250
ARLINGTON WA
98223-1668
US

IV. Provider business mailing address

1728 W MARINE VIEW DR STE 110
EVERETT WA
98201-2094
US

V. Phone/Fax

Practice location:
  • Phone: 360-435-2233
  • Fax: 360-435-3966
Mailing address:
  • Phone: 425-259-4041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDO.OP.61549436
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: