Healthcare Provider Details

I. General information

NPI: 1407665490
Provider Name (Legal Business Name): SEATTLE SLEEP INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2025
Last Update Date: 01/03/2025
Certification Date: 01/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

633 YESLER WAY
SEATTLE WA
98104-2725
US

IV. Provider business mailing address

633 YESLER WAY
SEATTLE WA
98104-2725
US

V. Phone/Fax

Practice location:
  • Phone: 206-522-3330
  • Fax:
Mailing address:
  • Phone: 206-522-3330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. JEANNEIN M DIERINGER
Title or Position: PRACTICE MANAGER
Credential:
Phone: 206-419-3974