Healthcare Provider Details

I. General information

NPI: 1194884940
Provider Name (Legal Business Name): DAVID CASSIUS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2006
Last Update Date: 10/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 BROADWAY SUITE 270
SEATTLE WA
98122-5395
US

IV. Provider business mailing address

600 BROADWAY SUITE 270
SEATTLE WA
98122-5395
US

V. Phone/Fax

Practice location:
  • Phone: 206-624-9876
  • Fax: 206-215-2289
Mailing address:
  • Phone: 206-624-9876
  • Fax: 206-666-2398

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberMD00037363
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: