Healthcare Provider Details

I. General information

NPI: 1083523443
Provider Name (Legal Business Name): ERANDY LEOS RAMIREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8801 14TH AVE S
SEATTLE WA
98108-4809
US

IV. Provider business mailing address

98003 S 288TH ST TRLR 393
FEDERAL WAY WA
98003
US

V. Phone/Fax

Practice location:
  • Phone: 206-766-6976
  • Fax: 206-766-6993
Mailing address:
  • Phone: 206-859-0936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: