Healthcare Provider Details

I. General information

NPI: 1295660876
Provider Name (Legal Business Name): HAROLD LAYTON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13555 AURORA AVE N
SEATTLE WA
98133-7511
US

IV. Provider business mailing address

7700 196TH ST SW APT A
EDMONDS WA
98026-6563
US

V. Phone/Fax

Practice location:
  • Phone: 206-577-4406
  • Fax: 206-577-8933
Mailing address:
  • Phone: 206-577-4406
  • Fax: 206-577-8933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number1326502865
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: