Healthcare Provider Details

I. General information

NPI: 1528208154
Provider Name (Legal Business Name): PATRICK RICHARD CUFF RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2009
Last Update Date: 02/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 S COLUMBIAN WAY
SEATTLE WA
98108-1532
US

IV. Provider business mailing address

11633 NE 92ND ST
KIRKLAND WA
98033-5703
US

V. Phone/Fax

Practice location:
  • Phone: 206-764-2101
  • Fax: 206-764-2496
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN00176036
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: