Healthcare Provider Details

I. General information

NPI: 1700673878
Provider Name (Legal Business Name): ANNALEAH LAGNADA MARTIN RRT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2025
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 N 115TH ST
SEATTLE WA
98133-8401
US

IV. Provider business mailing address

4030 152ND PL SE
BOTHELL WA
98012-6108
US

V. Phone/Fax

Practice location:
  • Phone: 206-668-1855
  • Fax: 206-668-1727
Mailing address:
  • Phone: 206-484-7298
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number00002724
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: