Healthcare Provider Details

I. General information

NPI: 1255924270
Provider Name (Legal Business Name): REFRAME HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2021
Last Update Date: 03/26/2024
Certification Date: 03/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 PREFONTAINE PL S STE 400
SEATTLE WA
98104-3299
US

IV. Provider business mailing address

3630 50TH AVE SW
SEATTLE WA
98116-3215
US

V. Phone/Fax

Practice location:
  • Phone: 206-420-0815
  • Fax: 206-420-0318
Mailing address:
  • Phone: 716-462-8844
  • Fax: 206-420-0318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CYNTHIA L KOTARSKI
Title or Position: PHYSICIAN, OWNER
Credential: ND
Phone: 206-420-0851