Healthcare Provider Details

I. General information

NPI: 1114831435
Provider Name (Legal Business Name): AUBYN MOMALY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 RAINIER AVE S # 201
SEATTLE WA
98144-4642
US

IV. Provider business mailing address

1700 TAYLOR AVE N APT 402
SEATTLE WA
98109-2948
US

V. Phone/Fax

Practice location:
  • Phone: 206-984-8087
  • Fax:
Mailing address:
  • Phone:
  • 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 StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: