Healthcare Provider Details

I. General information

NPI: 1144076621
Provider Name (Legal Business Name): JOURNEY RICHARDSON HESSELGRAVE DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2024
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 9TH AVE # 359702
SEATTLE WA
98104-2420
US

IV. Provider business mailing address

325 9TH AVE # 359702
SEATTLE WA
98104-2420
US

V. Phone/Fax

Practice location:
  • Phone: 206-744-2256
  • Fax:
Mailing address:
  • Phone: 206-744-2556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberDOL.OL.70114683
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: