=====================================================
General NPI Number Information
=====================================================
NPI Number | 1942482039
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DR. SUSANNE L. GEE & CO., PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/29/2007
-----------------------------------------------------
Last Update Date | 11/29/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4744 41ST AVE SW SUITE #104
-----------------------------------------------------
City | SEATTLE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98116-4570
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-932-3884
-----------------------------------------------------
Fax | 206-932-3885
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4744 41ST AVE SW SUITE #104
-----------------------------------------------------
City | SEATTLE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98116-4570
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-932-3884
-----------------------------------------------------
Fax | 206-932-3885
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/MANAGER
-----------------------------------------------------
Name | DR. SUSANNE LORAINE GEE
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 206-932-3884
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM2500X
-----------------------------------------------------
Taxonomy Name | Medical Specialty Clinic/Center
-----------------------------------------------------
License Number | 36781
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------