Healthcare Provider Details

I. General information

NPI: 1962754879
Provider Name (Legal Business Name): KATIE LYNN PAPI PHARMD, BCACP, BCADM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATIE LYNN TRAYLOR PHARMD, BCACP, BCADM

II. Dates (important events)

Enumeration Date: 10/03/2012
Last Update Date: 09/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 MINOR AVE STE 300
SEATTLE WA
98104-2133
US

IV. Provider business mailing address

515 MINOR AVE STE 300
SEATTLE WA
98104-2133
US

V. Phone/Fax

Practice location:
  • Phone: 206-386-9505
  • Fax: 206-386-9605
Mailing address:
  • Phone: 206-386-9505
  • Fax: 206-386-9605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberPH60888232
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number24275
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number9451468-8911
License Number StateUT
# 4
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number9451468-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: