Healthcare Provider Details

I. General information

NPI: 1972243616
Provider Name (Legal Business Name): BRETT ALFARO COLLINS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2022
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 BROADWAY STE 270T
SEATTLE WA
98122-5229
US

IV. Provider business mailing address

PO BOX 840842
DALLAS TX
75284-0842
US

V. Phone/Fax

Practice location:
  • Phone: 206-625-0578
  • Fax: 206-625-9184
Mailing address:
  • Phone: 206-625-0578
  • Fax: 206-625-9184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD70093931
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: