Healthcare Provider Details
I. General information
NPI: 1891912978
Provider Name (Legal Business Name): CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/19/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4800 SAND POINT WAY NE
SEATTLE WA
98105-3901
US
IV. Provider business mailing address
PO BOX 50010
SEATTLE WA
98105-1010
US
V. Phone/Fax
- Phone: 206-987-2000
- Fax:
- Phone: 206-987-8450
- Fax: 206-987-8484
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207LP3000X |
| Taxonomy | Pediatric Anesthesiology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207XX0801X |
| Taxonomy | Orthopaedic Trauma Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2081P0010X |
| Taxonomy | Pediatric Rehabilitation Medicine Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2086S0127X |
| Taxonomy | Trauma Surgery Physician |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085P0229X |
| Taxonomy | Pediatric Radiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PATTI
ADAMICH
Title or Position: ASSOCIATE DIRECTOR OF FINANCE
Credential:
Phone: 206-987-8471