MEDICARE: WELD SEATTLE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1023858420
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELD SEATTLE

Provider Business Mailing Address
First Line	:	PO BOX 77570
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98177-0570
Country	:	US
Telephone Number	:	206-571-4938
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 POPLAR PL S
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98144-2855
Country	:	US
Telephone Number	:	206-571-4938
Fax Number	:

Authorized Official
Title or Position	:	PROGRAM DEVELOPMENT
Name	:	TANYA MOORE
Credential	:	CPSS.PR.70057943
Telephone Number	:	206-549-7403

Provider Enumeration Date	:	05/31/2024
Last Update Date	:	02/04/2026

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Directions to “WELD SEATTLE ” Practice Location

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