Healthcare Provider Details

I. General information

NPI: 1043684020
Provider Name (Legal Business Name): KRISTIN CUTLER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2015
Last Update Date: 06/21/2021
Certification Date: 06/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST BOX 356460
SEATTLE WA
98195-0001
US

IV. Provider business mailing address

1231 116TH AVE NE STE 950
BELLEVUE WA
98004-3832
US

V. Phone/Fax

Practice location:
  • Phone: 831-234-5810
  • Fax:
Mailing address:
  • Phone: 425-454-3366
  • Fax: 425-646-5198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD61151145
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: