Healthcare Provider Details

I. General information

NPI: 1134496938
Provider Name (Legal Business Name): SWEDISH HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2011
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 17TH AVE STE A20
SEATTLE WA
98122-5799
US

IV. Provider business mailing address

500 17TH AVE
SEATTLE WA
98122-5711
US

V. Phone/Fax

Practice location:
  • Phone: 206-386-4744
  • Fax:
Mailing address:
  • Phone: 206-386-4744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number259680
License Number State

VIII. Authorized Official

Name: DONALD WAYNE ANDERSON JR.
Title or Position: ASSISTANT SECREATRY FOR ENROLLMENT
Credential:
Phone: 425-358-9786