Healthcare Provider Details

I. General information

NPI: 1235130527
Provider Name (Legal Business Name): SEAN C ADELMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12039 NE 128TH ST STE 400
KIRKLAND WA
98034-3029
US

IV. Provider business mailing address

12039 NE 128TH ST STE 400
KIRKLAND WA
98034-3029
US

V. Phone/Fax

Practice location:
  • Phone: 425-899-4810
  • Fax:
Mailing address:
  • Phone: 425-899-4810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD60132359
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: