Healthcare Provider Details

I. General information

NPI: 1033853320
Provider Name (Legal Business Name): FATUMA MUSA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2022
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 RAINIER AVE S STE 201
SEATTLE WA
98144-4642
US

IV. Provider business mailing address

2200 RAINIER AVE S STE 201
SEATTLE WA
98144-4642
US

V. Phone/Fax

Practice location:
  • Phone: 206-981-7582
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247100000X
TaxonomyRadiologic Technologist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: