Healthcare Provider Details

I. General information

NPI: 1124316641
Provider Name (Legal Business Name): STEVEN DALE HELGERSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2011
Last Update Date: 07/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 BELMONT AVE E SUITE F11
SEATTLE WA
98102-4875
US

IV. Provider business mailing address

601 BELMONT AVE E SUITE F11
SEATTLE WA
98102-4875
US

V. Phone/Fax

Practice location:
  • Phone: 206-329-3070
  • Fax:
Mailing address:
  • Phone: 206-329-3070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberMD00014516
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number10964
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: