Healthcare Provider Details

I. General information

NPI: 1699445551
Provider Name (Legal Business Name): SEATTLE CHILDREN'S HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2021
Last Update Date: 09/14/2021
Certification Date: 08/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3939 S. OTHELLO STREET SUITE #101
SEATTLE WA
98118
US

IV. Provider business mailing address

P.O. BOX 5371 RC-504
SEATTLE WA
98145
US

V. Phone/Fax

Practice location:
  • Phone: 206-987-7200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: SUZANNE BEITEL
Title or Position: SVP AND CFO
Credential:
Phone: 206-987-2000