Healthcare Provider Details

I. General information

NPI: 1245343086
Provider Name (Legal Business Name): ANNA BORISOVSKAYA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 MADISON ST STE 401
SEATTLE WA
98104-1172
US

IV. Provider business mailing address

805 MADISON ST STE 401
SEATTLE WA
98104-1172
US

V. Phone/Fax

Practice location:
  • Phone: 206-467-6300
  • Fax: 206-467-6301
Mailing address:
  • Phone: 206-467-6300
  • Fax: 206-467-6301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License NumberMD00048369
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD00048369
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: