Healthcare Provider Details

I. General information

NPI: 1508095035
Provider Name (Legal Business Name): SEATTLE ANESTHESIA ASSOCIATES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2009
Last Update Date: 11/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 MADISON ST SUITE 1050
SEATTLE WA
98104-1306
US

IV. Provider business mailing address

P O BOX 792
ISSAQUAH WA
98027
US

V. Phone/Fax

Practice location:
  • Phone: 206-515-0000
  • Fax:
Mailing address:
  • Phone: 425-736-1975
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAP 30005564
License Number StateWA

VIII. Authorized Official

Name: MRS. JULIANNE BELL
Title or Position: OWNER
Credential: CRNA
Phone: 425-736-1975