Healthcare Provider Details

I. General information

NPI: 1295156784
Provider Name (Legal Business Name): SOUND PLASTIC SURGERY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2013
Last Update Date: 12/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4915 25TH AVE NE
SEATTLE WA
98105-5667
US

IV. Provider business mailing address

8612 45TH AVE NE
SEATTLE WA
98115-3853
US

V. Phone/Fax

Practice location:
  • Phone: 425-776-0880
  • Fax:
Mailing address:
  • Phone: 425-776-0880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: SCOTT SATTLER
Title or Position: MD/OWNER
Credential: MD
Phone: 425-776-0880