Healthcare Provider Details

I. General information

NPI: 1598972002
Provider Name (Legal Business Name): VIRGINIA MASON MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 08/07/2024
Certification Date: 08/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 9TH AVE
SEATTLE WA
98101-2756
US

IV. Provider business mailing address

PO BOX 741515
LOS ANGELES CA
90074-1515
US

V. Phone/Fax

Practice location:
  • Phone: 206-625-7180
  • Fax:
Mailing address:
  • Phone: 206-515-5811
  • Fax: 206-341-0274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YS0012X
TaxonomySleep Medicine (Otolaryngology) Physician
License NumberH-010
License Number StateWA

VIII. Authorized Official

Name: MONICA HILT
Title or Position: PRESIDENT
Credential:
Phone: 206-341-1208