Healthcare Provider Details

I. General information

NPI: 1326747700
Provider Name (Legal Business Name): ERIN WELTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2023
Last Update Date: 06/20/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6222 NE 74TH ST
SEATTLE WA
98115-8158
US

IV. Provider business mailing address

27 161ST PL SE
BOTHELL WA
98012-5954
US

V. Phone/Fax

Practice location:
  • Phone: 206-543-5800
  • Fax:
Mailing address:
  • Phone: 510-206-8813
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number61451002
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: