Healthcare Provider Details

I. General information

NPI: 1225085848
Provider Name (Legal Business Name): SEATTLE ARTHRITIS CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2006
Last Update Date: 04/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10330 MERIDIAN AVE N SUITE 250
SEATTLE WA
98133-9451
US

IV. Provider business mailing address

10330 MERIDIAN AVE N SUITE 250
SEATTLE WA
98133-9451
US

V. Phone/Fax

Practice location:
  • Phone: 206-368-6123
  • Fax: 206-368-6178
Mailing address:
  • Phone: 206-368-6123
  • Fax: 206-368-6178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. CHARLES WILLIAM SCHNEIDER
Title or Position: PRES/CEO
Credential:
Phone: 206-368-1700