Healthcare Provider Details

I. General information

NPI: 1134349095
Provider Name (Legal Business Name): LYNN DAVIDSON R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LYNN RAINWATER-DAVIDSON

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12303 NE 130TH LN STE 420
KIRKLAND WA
98034-3099
US

IV. Provider business mailing address

12303 NE 130TH LN STE 420
KIRKLAND WA
98034-3099
US

V. Phone/Fax

Practice location:
  • Phone: 425-899-6400
  • Fax: 425-899-4490
Mailing address:
  • Phone: 425-899-6400
  • Fax: 425-899-4490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: