Healthcare Provider Details

I. General information

NPI: 1528931961
Provider Name (Legal Business Name): IVALY ELIZABETH CLINE-WELCH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1850 BOYER AVE E
SEATTLE WA
98112-2922
US

IV. Provider business mailing address

532 BELMONT AVE E APT 302
SEATTLE WA
98102-6721
US

V. Phone/Fax

Practice location:
  • Phone: 206-325-8477
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: