Healthcare Provider Details

I. General information

NPI: 1447518220
Provider Name (Legal Business Name): PRIYA RAJENDRA MOTZ DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PRIYA RAJENDRA PATEL DO

II. Dates (important events)

Enumeration Date: 04/30/2012
Last Update Date: 03/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HARBORVIEW MEDICAL CENTER 325 9TH AVE
SEATTLE WA
98195
US

IV. Provider business mailing address

20200 54TH AVENUE W
LYNNWOOD WA
98036-6389
US

V. Phone/Fax

Practice location:
  • Phone: 206-744-3261
  • Fax:
Mailing address:
  • Phone: 425-672-6400
  • Fax: 425-672-6518

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License NumberOP60652667
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberOP60652667
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: