Healthcare Provider Details

I. General information

NPI: 1760312094
Provider Name (Legal Business Name): LEAPFERTILITY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4730 UNIVERSITY WAY NE, STE 104 2287
SEATTLE WA
98105-4424
US

IV. Provider business mailing address

4730 UNIVERSITY WAY NE STE 104 2287
SEATTLE WA
98105-4424
US

V. Phone/Fax

Practice location:
  • Phone: 206-369-1840
  • Fax:
Mailing address:
  • Phone: 206-369-1840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANGELA THYER
Title or Position: PRESIDENT
Credential: MD
Phone: 206-369-1840