Healthcare Provider Details

I. General information

NPI: 1245193457
Provider Name (Legal Business Name): CECILIA PLEASANT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 RAINIER AVE S # 201
SEATTLE WA
98144-4642
US

IV. Provider business mailing address

1305 NE 45TH ST STE 206
SEATTLE WA
98105-4523
US

V. Phone/Fax

Practice location:
  • Phone: 206-417-9904
  • Fax:
Mailing address:
  • Phone: 206-518-7475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: