Healthcare Provider Details

I. General information

NPI: 1730490863
Provider Name (Legal Business Name): AISHA P RULER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AISHA PATRICE REULER MD

II. Dates (important events)

Enumeration Date: 06/23/2010
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1355 N 205TH ST
SHORELINE WA
98133-3215
US

IV. Provider business mailing address

PO BOX 50095
SEATTLE WA
98145-5095
US

V. Phone/Fax

Practice location:
  • Phone: 206-520-5000
  • Fax:
Mailing address:
  • Phone: 206-520-5700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD60444746
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: