Healthcare Provider Details

I. General information

NPI: 1407545312
Provider Name (Legal Business Name): LAURA SCHULZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2023
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1135 116TH AVE NE BLDG 3
BELLEVUE WA
98004-4623
US

IV. Provider business mailing address

2020 180TH CT NE
REDMOND WA
98052-6033
US

V. Phone/Fax

Practice location:
  • Phone: 425-635-6560
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number61431688
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: