Healthcare Provider Details

I. General information

NPI: 1437053535
Provider Name (Legal Business Name): SYLVAIN LA LSWAIC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N 34TH ST STE 320
SEATTLE WA
98103-5296
US

IV. Provider business mailing address

3830 S 176TH ST
SEATAC WA
98188-4152
US

V. Phone/Fax

Practice location:
  • Phone: 206-486-8270
  • Fax:
Mailing address:
  • Phone: 510-565-4850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWIA.SC.70138861
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: