Healthcare Provider Details

I. General information

NPI: 1255520102
Provider Name (Legal Business Name): DAVID CASSIUS, MD PS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2007
Last Update Date: 10/17/2007
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: 206-666-2398
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 Number37363
License Number StateWA

VIII. Authorized Official

Name: DR. DAVID CASSIUS
Title or Position: PRESIDENT
Credential: MD
Phone: 206-255-8393