Healthcare Provider Details

I. General information

NPI: 1699967174
Provider Name (Legal Business Name): DEPARTMENT OF VETERANS AFFAIRS PUGET SOUND HEALTH CARE SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2007
Last Update Date: 08/17/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 S COLUMBIAN WAY
SEATTLE WA
98108-1532
US

IV. Provider business mailing address

1660 S COLUMBIAN WAY
SEATTLE WA
98108-1532
US

V. Phone/Fax

Practice location:
  • Phone: 206-277-1027
  • Fax: 206-764-2192
Mailing address:
  • Phone: 206-277-1027
  • Fax: 206-764-2192

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: MRS. LINDSEY EITH PARRISH NELSON
Title or Position: SOCIAL WORKER
Credential: MSW
Phone: 206-277-1027