Healthcare Provider Details

I. General information

NPI: 1407711526
Provider Name (Legal Business Name): GOLDENSEAL HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2025
Last Update Date: 01/01/2026
Certification Date: 01/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8348 18TH AVE NW
SEATTLE WA
98117-3642
US

IV. Provider business mailing address

8348 18TH AVE NW
SEATTLE WA
98117-3642
US

V. Phone/Fax

Practice location:
  • Phone: 425-318-2471
  • Fax:
Mailing address:
  • Phone: 425-318-2471
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: LIANA MAXA
Title or Position: MD
Credential:
Phone: 425-318-2471