Healthcare Provider Details

I. General information

NPI: 1093394728
Provider Name (Legal Business Name): BAILEY RENE HEALY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2021
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 BOREN AVE STE 1520
SEATTLE WA
98104-3560
US

IV. Provider business mailing address

901 BOREN AVE STE 1520
SEATTLE WA
98104-3560
US

V. Phone/Fax

Practice location:
  • Phone: 206-292-0700
  • Fax:
Mailing address:
  • Phone: 206-292-0700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD70124745
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD220646
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: