Healthcare Provider Details

I. General information

NPI: 1073789988
Provider Name (Legal Business Name): SOUND ASSOCIATES WESTERN WASHINGTON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2008
Last Update Date: 05/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9776 HOLMAN RD NW SUITE 101
SEATTLE WA
98117
US

IV. Provider business mailing address

9776 HOLMAN RD NW SUITE 101
SEATTLE WA
98117
US

V. Phone/Fax

Practice location:
  • Phone: 206-782-6770
  • Fax: 206-957-6003
Mailing address:
  • Phone: 206-782-6770
  • Fax: 206-957-6003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHA00000409
License Number StateWA

VIII. Authorized Official

Name: MR. SHAWN P UTIGARD
Title or Position: OWNER MEMBER
Credential: HIS
Phone: 206-782-6770