Healthcare Provider Details

I. General information

NPI: 1881431252
Provider Name (Legal Business Name): HELEN GABRA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2024
Last Update Date: 07/11/2024
Certification Date: 07/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 SAND POINT WAY NE
SEATTLE WA
98105-3901
US

IV. Provider business mailing address

15911 55TH PL W
EDMONDS WA
98026-4747
US

V. Phone/Fax

Practice location:
  • Phone: 206-987-0000
  • Fax:
Mailing address:
  • Phone: 425-953-7653
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number61452463
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: