Healthcare Provider Details

I. General information

NPI: 1437362837
Provider Name (Legal Business Name): JULIE CRAIG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 11/21/2024
Certification Date: 11/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 WESTLAKE AVE N STE 200
SEATTLE WA
98109-6212
US

IV. Provider business mailing address

1700 WESTLAKE AVE N STE 200
SEATTLE WA
98109-6212
US

V. Phone/Fax

Practice location:
  • Phone: 866-284-4648
  • Fax:
Mailing address:
  • Phone: 866-284-4648
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD2010-0056
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number2015094
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: