Healthcare Provider Details

I. General information

NPI: 1306670492
Provider Name (Legal Business Name): ELIZABETH MARY CAULFIELD CPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2024
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11410 NE 122ND WAY STE 100
KIRKLAND WA
98034-6927
US

IV. Provider business mailing address

10101 8TH AVE S APT B17
SEATTLE WA
98168-5541
US

V. Phone/Fax

Practice location:
  • Phone: 425-650-4005
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: