Healthcare Provider Details

I. General information

NPI: 1063354439
Provider Name (Legal Business Name): JASLEEN KAUR BAL RCP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JASLEEN KAUR BAL RCP

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST
SEATTLE WA
98195-0001
US

IV. Provider business mailing address

1959 NE PACIFIC ST
SEATTLE WA
98195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 206-744-3000
  • Fax: 206-598-3300
Mailing address:
  • Phone: 206-598-3300
  • Fax: 205-598-7176

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberLR61652648
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: