Healthcare Provider Details

I. General information

NPI: 1245157122
Provider Name (Legal Business Name): DIANA M KEEN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 E JEFFERSON ST STE 500
SEATTLE WA
98122-5647
US

IV. Provider business mailing address

231 BELMONT AVE E UNIT 109
SEATTLE WA
98102-5697
US

V. Phone/Fax

Practice location:
  • Phone: 206-215-4300
  • Fax: 206-215-4315
Mailing address:
  • Phone: 206-251-4605
  • Fax: 206-215-4315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number60788741
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: