Healthcare Provider Details

I. General information

NPI: 1922925031
Provider Name (Legal Business Name): NOOR HEALTH CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9238 RAINIER AVE S STE B
SEATTLE WA
98118-5570
US

IV. Provider business mailing address

9238 RAINIER AVE S STE B
SEATTLE WA
98118-5570
US

V. Phone/Fax

Practice location:
  • Phone: 206-984-7603
  • Fax: 206-649-2114
Mailing address:
  • Phone: 206-984-7603
  • Fax: 206-649-2114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHADIA NOOR MOHAMUD
Title or Position: OWNER
Credential: ARNP
Phone: 206-984-7603