Healthcare Provider Details

I. General information

NPI: 1649697384
Provider Name (Legal Business Name): SOUND ASSOCIATES WESTERN WASHINGTON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2014
Last Update Date: 02/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6413 FAUNTLEROY WAY SW
SEATTLE WA
98136-1820
US

IV. Provider business mailing address

6413 FAUNTLEROY WAY SW
SEATTLE WA
98136-1820
US

V. Phone/Fax

Practice location:
  • Phone: 206-937-8700
  • Fax: 206-935-2451
Mailing address:
  • Phone: 206-937-8700
  • Fax: 206-935-2451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberLD60410773
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberLD00004217
License Number StateWA

VIII. Authorized Official

Name: DR. PATRICIA JO MUNSON
Title or Position: OWNER/PROVIDER
Credential: AUD
Phone: 206-937-8700