Healthcare Provider Details

I. General information

NPI: 1285368126
Provider Name (Legal Business Name): RICARDO ALCHINI D.M.D.-PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2022
Last Update Date: 06/26/2023
Certification Date: 06/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9245 RAINIER AVE S
SEATTLE WA
98118-5569
US

IV. Provider business mailing address

NEIGHBORCARE HEALTH HUMAN RESOURCES 1200 12TH AVE S SUITE 901
SEATTLE WA
98144
US

V. Phone/Fax

Practice location:
  • Phone: 206-722-8444
  • Fax:
Mailing address:
  • Phone: 206-548-3012
  • Fax: 206-262-0859

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 StateWA
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDE61360410
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: