Healthcare Provider Details

I. General information

NPI: 1629450226
Provider Name (Legal Business Name): HEARING, SPEECH & DEAFNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2015
Last Update Date: 04/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1625 19TH AVE
SEATTLE WA
98122-2848
US

IV. Provider business mailing address

1695 19TH AVENUE
SEATTLE WA
98122
US

V. Phone/Fax

Practice location:
  • Phone: 206-388-1269
  • Fax:
Mailing address:
  • Phone: 206-388-1269
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number
License Number State

VIII. Authorized Official

Name: DAVID WEBSTER
Title or Position: DIRECTOR OF FINANCE
Credential:
Phone: 206-323-5770