Healthcare Provider Details

I. General information

NPI: 1215916960
Provider Name (Legal Business Name): DARCI LISE STERNEN MS, CGC
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 SAND POINT WAY NE CHILDREN'S HOSP & REG MED CTR, MEDICAL GENETICS M2-9
SEATTLE WA
98105
US

IV. Provider business mailing address

PO BOX 5371/M2-9 CHILDREN'S HOSP & REG MED CTR, MEDICAL GENETICS
SEATTLE WA
98105
US

V. Phone/Fax

Practice location:
  • Phone: 206-987-2664
  • Fax: 206-987-2495
Mailing address:
  • Phone: 206-987-2664
  • Fax: 206-987-2495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number96234- ABGC CERT.
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: