Healthcare Provider Details

I. General information

NPI: 1134051162
Provider Name (Legal Business Name): RAHMO SALEBAN
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2008 WESTLAKE AVE STE 100
SEATTLE WA
98121-2695
US

IV. Provider business mailing address

6036 31ST AVE SW
SEATTLE WA
98126-2964
US

V. Phone/Fax

Practice location:
  • Phone: 206-340-0410
  • Fax:
Mailing address:
  • Phone: 206-453-9787
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: