Healthcare Provider Details

I. General information

NPI: 1326073768
Provider Name (Legal Business Name): SUSAN M RAUSCH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SUSAN M RAUSCH

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 09/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 9TH AVE
SEATTLE WA
98101-2756
US

IV. Provider business mailing address

1100 9TH AVE
SEATTLE WA
98101-2756
US

V. Phone/Fax

Practice location:
  • Phone: 206-223-6600
  • Fax:
Mailing address:
  • Phone: 206-223-6600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number26521
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number26521
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberMD60194916
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: