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NPI Code Detail

MEDICARE: ELLEN SIMONE PASSLOFF MD

MEDICARE: ELLEN SIMONE PASSLOFF MD
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
1208000000XPediatrics PhysicianMD00030068WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033288188
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLEN SIMONE PASSLOFF MD
Provider Business Mailing Address
First Line : PO BOX 5127
Second Line :
City : EVERETT
State : WA
Zip : 98206-5127
Country : US
Telephone Number : 206-860-5414
Fax Number : 206-720-8462
Provider Business Practice Location Address
First Line : 1201 N 175TH ST
Second Line :
City : SHORELINE
State : WA
Zip : 98133-5064
Country : US
Telephone Number : 206-401-3200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2006
Last Update Date : 08/30/2025

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Directions to “ ELLEN SIMONE PASSLOFF MD” Practice Location

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