Healthcare Provider Details

I. General information

NPI: 1518125343
Provider Name (Legal Business Name): TIFFANY TAUSALA COLEMAN-SATTERFIELD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TIFFANY JOSEPHINE TAUSALA COLEMAN MD

II. Dates (important events)

Enumeration Date: 05/29/2008
Last Update Date: 08/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 SAND POINT WAY NE MAIL STOP MB 7.520
SEATTLE WA
98105
US

IV. Provider business mailing address

4800 SAND POINT WAY NE MAIL STOP MB 7.520
SEATTLE WA
98105
US

V. Phone/Fax

Practice location:
  • Phone: 206-987-2599
  • Fax: 206-729-3070
Mailing address:
  • Phone: 206-987-2599
  • Fax: 206-729-3070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD60222843
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: