Healthcare Provider Details

I. General information

NPI: 1043463565
Provider Name (Legal Business Name): AMANDA BETH STEEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2008
Last Update Date: 03/19/2021
Certification Date: 03/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 E JEFFERSON ST SUITE 300
SEATTLE WA
98122-5698
US

IV. Provider business mailing address

PO BOX 25608
SALT LAKE CITY UT
84125-0608
US

V. Phone/Fax

Practice location:
  • Phone: 425-298-2272
  • Fax: 425-498-2334
Mailing address:
  • Phone: 206-320-4476
  • Fax: 206-568-7043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberMD60207735
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: