MEDICARE: MS. JASLEEN KAUR BAL RCP

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	227900000X	Registered Respiratory Therapist	LR61652648	WA

General Provider Information

NPI Number	:	1063354439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JASLEEN KAUR BAL RCP

Provider Business Mailing Address
First Line	:	1959 NE PACIFIC ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98195-0001
Country	:	US
Telephone Number	:	206-598-3300
Fax Number	:	205-598-7176

Provider Business Practice Location Address
First Line	:	1959 NE PACIFIC ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98195-0001
Country	:	US
Telephone Number	:	206-744-3000
Fax Number	:	206-598-3300

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	06/02/2026

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