Healthcare Provider Details

I. General information

NPI: 1144896036
Provider Name (Legal Business Name): CATHERINE PAIGE DOLAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2021
Last Update Date: 06/20/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST
SEATTLE WA
98195-9196
US

IV. Provider business mailing address

1959 NE PACIFIC ST BOX 356490
SEATTLE WA
98195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 206-685-0936
  • Fax:
Mailing address:
  • Phone: 206-685-0936
  • 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 StateNULL
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number331032
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: