Healthcare Provider Details

I. General information

NPI: 1629990221
Provider Name (Legal Business Name): SORREL HEALTH AND WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3250 AIRPORT WAY S STE 707
SEATTLE WA
98134-2172
US

IV. Provider business mailing address

3250 AIRPORT WAY S STE 707
SEATTLE WA
98134-2172
US

V. Phone/Fax

Practice location:
  • Phone: 206-202-6156
  • Fax: 206-657-5761
Mailing address:
  • Phone: 206-202-6156
  • Fax: 206-657-5761

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MEGHAN M TIERNEY
Title or Position: CEO AND FOUNDER
Credential: MD
Phone: 206-202-6156