Healthcare Provider Details

I. General information

NPI: 1063833549
Provider Name (Legal Business Name): SEATTLE SLEEP EDUCATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2013
Last Update Date: 12/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14420 BEL RED RD SUITE 107
BELLEVUE WA
98007-3930
US

IV. Provider business mailing address

14420 BEL RED RD SUITE 107
BELLEVUE WA
98007-3930
US

V. Phone/Fax

Practice location:
  • Phone: 206-947-0565
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number603268682
License Number StateWA

VIII. Authorized Official

Name: DR. STEPHEN CARSTENSEN
Title or Position: OWNDER
Credential: DDS
Phone: 206-947-0565