Healthcare Provider Details

I. General information

NPI: 1588215917
Provider Name (Legal Business Name): SOUND ASSOCIATES NORTHWEST, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2019
Last Update Date: 09/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9776 HOLMAN RD NW STE 101
SEATTLE WA
98117-2000
US

IV. Provider business mailing address

9776 HOLMAN RD NW STE 101
SEATTLE WA
98117-2000
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name: SHAWN PHILIP UTIGARD
Title or Position: OWNER
Credential: HIS
Phone: 206-782-6770