Healthcare Provider Details

I. General information

NPI: 1962708800
Provider Name (Legal Business Name): DANIELLE A PASTER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2011
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5300 TALLMAN AVE NW
SEATTLE WA
98107-3932
US

IV. Provider business mailing address

2016 NE 61ST ST
SEATTLE WA
98115-6921
US

V. Phone/Fax

Practice location:
  • Phone: 206-781-6209
  • Fax:
Mailing address:
  • Phone: 608-669-1721
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberML60106786
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License NumberMEDS7582
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: