Healthcare Provider Details

I. General information

NPI: 1285161547
Provider Name (Legal Business Name): HIBA QARI BDS,MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2017
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC STREET ROOM # B202 BOX 357133
SEATTLE WA
98195-7133
US

IV. Provider business mailing address

1959 NE PACIFIC STREET ROOM # B202 BOX 357133
SEATTLE WA
98195-7133
US

V. Phone/Fax

Practice location:
  • Phone: 206-543-4440
  • Fax:
Mailing address:
  • Phone: 206-543-4440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223P0106X
TaxonomyOral and Maxillofacial Pathology Dentistry
License Number71.000286
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code1223P0106X
TaxonomyOral and Maxillofacial Pathology Dentistry
License NumberDF61606337
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: