Healthcare Provider Details

I. General information

NPI: 1063069011
Provider Name (Legal Business Name): GIOVANNE DIAMONE SCHACHERE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2019
Last Update Date: 11/16/2022
Certification Date: 11/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5608 17TH AVE NW # 824
SEATTLE WA
98107-5232
US

IV. Provider business mailing address

5608 17TH AVE NW # 824
SEATTLE WA
98107-5232
US

V. Phone/Fax

Practice location:
  • Phone: 800-524-4827
  • Fax: 888-380-6624
Mailing address:
  • Phone: 800-524-4827
  • Fax: 888-380-6624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: