Healthcare Provider Details

I. General information

NPI: 1407258866
Provider Name (Legal Business Name): DOUGLAS STEVEN LIM ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2014
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 NW CANAL ST STE 200
SEATTLE WA
98107-4970
US

IV. Provider business mailing address

126 NW CANAL ST STE 200
SEATTLE WA
98107-4970
US

V. Phone/Fax

Practice location:
  • Phone: 206-486-1500
  • Fax: 206-775-7215
Mailing address:
  • Phone: 206-486-1500
  • Fax: 206-775-7215

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP60448736
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: