Healthcare Provider Details

I. General information

NPI: 1659812907
Provider Name (Legal Business Name): DR. ANNA VANDERHOFF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2017
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1505 WESTLAKE AVE N STE 400
SEATTLE WA
98109-6211
US

IV. Provider business mailing address

1505 WESTLAKE AVE N STE 400
SEATTLE WA
98109-6211
US

V. Phone/Fax

Practice location:
  • Phone: 206-301-5000
  • Fax:
Mailing address:
  • Phone: 206-301-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberMD.MD.61579189
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: