MEDICARE: KATHARINE JOO

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	2084P0800X	Psychiatry Physician	A149747	CA
2	2084P0800X	Psychiatry Physician	MD61015483	WA

General Provider Information

NPI Number	:	1326380981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHARINE JOO

Provider Business Mailing Address
First Line	:	2311 N 45TH ST # 320
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-6905
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3715 S HUDSON ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118-2167
Country	:	US
Telephone Number	:	206-923-9259
Fax Number	:

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

Provider Enumeration Date	:	03/21/2013
Last Update Date	:	03/23/2026

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Directions to “ KATHARINE JOO ” Practice Location

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