Healthcare Provider Details

I. General information

NPI: 1982515193
Provider Name (Legal Business Name): NEEKA GHODSI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1354 ALOHA ST
SEATTLE WA
98109-4404
US

IV. Provider business mailing address

16626 57TH PL W
LYNNWOOD WA
98037-8325
US

V. Phone/Fax

Practice location:
  • Phone: 206-606-6500
  • Fax:
Mailing address:
  • Phone: 425-375-1149
  • 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: