Healthcare Provider Details

I. General information

NPI: 1881647055
Provider Name (Legal Business Name): STEVEN C ALLER M.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 01/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 SAND POINT WAY NE
SEATTLE WA
98105-3901
US

IV. Provider business mailing address

4800 SAND PONT WAY NE
SEATTLE WA
98105
US

V. Phone/Fax

Practice location:
  • Phone: 206-987-2000
  • Fax: 206-985-3201
Mailing address:
  • Phone: 206-987-2000
  • Fax: 206-985-3201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number60147526
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: