Healthcare Provider Details

I. General information

NPI: 1730020124
Provider Name (Legal Business Name): YALDA SAFFARY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DLMP 1959 NE PACIFIC ST
SEATTLE WA
98195-0001
US

IV. Provider business mailing address

DLMP 1959 NE PACIFIC ST
SEATTLE WA
98195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 120-659-8330
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0104X
TaxonomyChemical Pathology Physician
License NumberNA
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: