Healthcare Provider Details

I. General information

NPI: 1275217903
Provider Name (Legal Business Name): SEMAL MAHMOUD MUSLEH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2023
Last Update Date: 08/02/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12800 BOTHELL EVERETT HWY STE 160
EVERETT WA
98208-6644
US

IV. Provider business mailing address

12800 BOTHELL EVERETT HWY STE 160
EVERETT WA
98208-6644
US

V. Phone/Fax

Practice location:
  • Phone: 425-316-5180
  • Fax: 425-259-8600
Mailing address:
  • Phone: 425-316-5180
  • Fax: 425-259-8600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD.MD.70130224
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: