Healthcare Provider Details

I. General information

NPI: 1346567419
Provider Name (Legal Business Name): DR. ATTAMAN, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2010
Last Update Date: 09/12/2020
Certification Date: 09/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 - 116TH AVE NE STE 204
BELLEVUE WA
98004-3056
US

IV. Provider business mailing address

1600 - 116TH AVE NE STE 204
BELLEVUE WA
98004-3056
US

V. Phone/Fax

Practice location:
  • Phone: 206-395-4422
  • Fax: 888-688-4167
Mailing address:
  • Phone: 206-395-4422
  • Fax: 888-688-4167

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JASON GENE ATTAMAN
Title or Position: PHYSICIAN, SOLE OWNER
Credential: D.O.
Phone: 312-593-1619