Healthcare Provider Details

I. General information

NPI: 1558689257
Provider Name (Legal Business Name): KATHERINE CLAIRE RITCHEY DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2010
Last Update Date: 07/31/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 BROADWAY 5TH FLOOR, ROOM 5048
SEATTLE WA
98104-2499
US

IV. Provider business mailing address

4 W ETRURIA ST APT A
SEATTLE WA
98119-1949
US

V. Phone/Fax

Practice location:
  • Phone: 206-744-9100
  • Fax:
Mailing address:
  • Phone: 614-499-0484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberOP60382932
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: