Healthcare Provider Details

I. General information

NPI: 1952755118
Provider Name (Legal Business Name): JOSEPH WILLIAM ROOT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2016
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3417 EVANSTON AVE N STE 213
SEATTLE WA
98103-8644
US

IV. Provider business mailing address

3417 EVANSTON AVE N STE 213
SEATTLE WA
98103-8644
US

V. Phone/Fax

Practice location:
  • Phone: 206-738-2859
  • Fax: 206-803-5624
Mailing address:
  • Phone: 206-738-2859
  • Fax: 206-803-5624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD60969429
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: