Healthcare Provider Details

I. General information

NPI: 1619788593
Provider Name (Legal Business Name): ALANA DOUGLAS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALANA MILES RN

II. Dates (important events)

Enumeration Date: 01/18/2025
Last Update Date: 01/18/2025
Certification Date: 01/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 9TH AVE
SEATTLE WA
98104-2499
US

IV. Provider business mailing address

3324 155TH PL SE
MILL CREEK WA
98012-8334
US

V. Phone/Fax

Practice location:
  • Phone: 206-744-3000
  • Fax:
Mailing address:
  • Phone: 480-510-7551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN60376733
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: