Healthcare Provider Details

I. General information

NPI: 1306231170
Provider Name (Legal Business Name): OBJECTIVE MEDICAL ASSESSMENTS CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2015
Last Update Date: 03/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 2ND AVE S #110
SEATTLE WA
98104-3858
US

IV. Provider business mailing address

401 2ND AVE S #110
SEATTLE WA
98104-3858
US

V. Phone/Fax

Practice location:
  • Phone: 206-324-6622
  • Fax: 206-726-8605
Mailing address:
  • Phone: 206-324-6622
  • Fax: 206-726-8605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE L. MOON
Title or Position: CONTROLLER
Credential:
Phone: 206-774-9221