Healthcare Provider Details

I. General information

NPI: 1942837497
Provider Name (Legal Business Name): NOELLA TESSA CORTINAS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2020
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12728 19TH AVE SE STE 300
EVERETT WA
98208-6676
US

IV. Provider business mailing address

12728 19TH AVE SE STE 300
EVERETT WA
98208-6676
US

V. Phone/Fax

Practice location:
  • Phone: 425-252-1116
  • Fax: 425-252-1118
Mailing address:
  • Phone: 425-252-1116
  • Fax: 425-252-1118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberMD.MD.70096408
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberMD.MD.70096408
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: