Healthcare Provider Details

I. General information

NPI: 1407187537
Provider Name (Legal Business Name): LEAFAR FRANCESCO-JOSE ESPINOZA PH.D., MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2010
Last Update Date: 07/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 SAND POINT WAY NE M/S
SEATTLE WA
98105-3901
US

IV. Provider business mailing address

2101 E YESLER WAY SUITE 100
SEATTLE WA
98122-5959
US

V. Phone/Fax

Practice location:
  • Phone: 206-987-7200
  • Fax:
Mailing address:
  • Phone: 206-987-7200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY60128868
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: