Healthcare Provider Details

I. General information

NPI: 1518835255
Provider Name (Legal Business Name): KATE MASON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2025
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5350 TALLMAN AVE NW STE 301
SEATTLE WA
98107-5902
US

IV. Provider business mailing address

11520 36TH AVE NE
SEATTLE WA
98125-5633
US

V. Phone/Fax

Practice location:
  • Phone: 206-320-3335
  • Fax:
Mailing address:
  • Phone: 808-895-9540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License NumberRN-60558443
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: