Healthcare Provider Details

I. General information

NPI: 1407641566
Provider Name (Legal Business Name): HAILEY MICHELLE CALLAHAN RCP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2025
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST
SEATTLE WA
98195-0001
US

IV. Provider business mailing address

31712 7TH AVE S
FEDERAL WAY WA
98003-5212
US

V. Phone/Fax

Practice location:
  • Phone: 206-598-5644
  • Fax:
Mailing address:
  • Phone: 425-273-1164
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License NumberLR61506117
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: