Healthcare Provider Details

I. General information

NPI: 1497409338
Provider Name (Legal Business Name): US CAREWAYS-SEA, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2022
Last Update Date: 02/09/2022
Certification Date: 01/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17801 INTERNATIONAL BLVD
SEATTLE WA
98158
US

IV. Provider business mailing address

14818 N 74TH ST
SCOTTSDALE AZ
85260-2405
US

V. Phone/Fax

Practice location:
  • Phone: 206-552-1844
  • Fax:
Mailing address:
  • Phone: 480-339-5088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOHN J SHUFELDT
Title or Position: CMO, CEO
Credential: MD
Phone: 480-339-5088