Healthcare Provider Details

I. General information

NPI: 1750369450
Provider Name (Legal Business Name): DANIEL L DOWNEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2006
Last Update Date: 04/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1536 N 115TH ST SUITE 105
SEATTLE WA
98133-8400
US

IV. Provider business mailing address

1536 N 115TH ST SUITE 105
SEATTLE WA
98133-8400
US

V. Phone/Fax

Practice location:
  • Phone: 206-368-1160
  • Fax: 206-368-1159
Mailing address:
  • Phone: 206-368-1160
  • Fax: 206-368-1159

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberMD00021808
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code2082S0099X
TaxonomyPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician
License NumberMD00021808
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: