Healthcare Provider Details

I. General information

NPI: 1649857707
Provider Name (Legal Business Name): SAMUEL MANHEI LAW MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 EASTLAKE AVE E
SEATTLE WA
98109-4405
US

IV. Provider business mailing address

825 EASTLAKE AVE E
SEATTLE WA
98109-4405
US

V. Phone/Fax

Practice location:
  • Phone: 206-606-7222
  • Fax:
Mailing address:
  • Phone: 206-606-7222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License NumberMD.MD.70106636
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: