Healthcare Provider Details

I. General information

NPI: 1083883896
Provider Name (Legal Business Name): SETH JAVIER PERLMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2008
Last Update Date: 10/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 SAND POINT WAY NE
SEATTLE WA
98105-3901
US

IV. Provider business mailing address

PO BOX 5371 MS 504
SEATTLE WA
98145
US

V. Phone/Fax

Practice location:
  • Phone: 206-987-2000
  • Fax: 206-985-3114
Mailing address:
  • Phone: 206-987-2000
  • Fax: 206-985-3114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0008X
TaxonomyNeuromuscular Medicine (Psychiatry & Neurology) Physician
License NumberMD-41022
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code2084N0008X
TaxonomyNeuromuscular Medicine (Psychiatry & Neurology) Physician
License NumberMD60938414
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number41022
License Number StateIA
# 4
Primary TaxonomyN
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number2011007124
License Number StateMO
# 5
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License NumberMD60938414
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: