Healthcare Provider Details

I. General information

NPI: 1982948535
Provider Name (Legal Business Name): SEATTLE OPERATIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2012
Last Update Date: 01/21/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2717 DEXTER AVE N
SEATTLE WA
98109-1914
US

IV. Provider business mailing address

2717 DEXTER AVE N
SEATTLE WA
98109-1914
US

V. Phone/Fax

Practice location:
  • Phone: 206-284-7012
  • Fax: 206-283-3936
Mailing address:
  • Phone: 206-284-7012
  • Fax: 206-283-3936

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: KARL MILLER JR.
Title or Position: CHAIRMAN
Credential:
Phone: 503-570-3405