Healthcare Provider Details

I. General information

NPI: 1194658559
Provider Name (Legal Business Name): FARZANEH FARHADI MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2030 8TH AVE
SEATTLE WA
98121
US

IV. Provider business mailing address

522 W RIVERSIDE AVE STE N
SPOKANE WA
99201-0581
US

V. Phone/Fax

Practice location:
  • Phone: 360-447-8424
  • Fax:
Mailing address:
  • Phone: 360-447-8424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: FARZANEH FARHADI
Title or Position: OWNER
Credential: MD
Phone: 360-447-8424