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NPI Code Detail

MEDICARE: SEATTLE REPRODUCTIVE MEDICINE

MEDICARE: SEATTLE REPRODUCTIVE MEDICINE
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
1261QA0006XAmbulatory Fertility Facility602352899WA
2207VE0102XReproductive Endocrinology Physician

General Provider Information

NPI Number : 1366597932
Entity Type Code : Organization
Provider Name (Legal Business Name) : SEATTLE REPRODUCTIVE MEDICINE
Provider Business Mailing Address
First Line : 1505 WESTLAKE AVE N
Second Line : SUITE 400
City : SEATTLE
State : WA
Zip : 98109-3050
Country : US
Telephone Number : 206-301-5000
Fax Number : 206-285-4555
Provider Business Practice Location Address
First Line : 1505 WESTLAKE AVE N
Second Line : SUITE 400
City : SEATTLE
State : WA
Zip : 98109-3050
Country : US
Telephone Number : 206-301-5000
Fax Number : 206-285-4555
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : BRAD SENSTRA
Credential :
Telephone Number : 206-301-5001
Provider Enumeration Date : 01/24/2007
Last Update Date : 11/02/2021

Similar Medicare Providers

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1255424131 — DR. NANCY A KLEIN M.D.
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Practice Fax:
1780777680 — DR. AMY R CRINITI M.D.
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Practice Fax:
1194818088 — DR. ANGELA C THYER M.D.
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98109-3050
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Practice Fax:
1023162831 — SEATTLE REPRODUCTIVE SURGERY CENTER
Practice Location Address:
1505 WESTLAKE AVE N , SUITE 400
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Practice Fax:

Directions to “SEATTLE REPRODUCTIVE MEDICINE ” Practice Location

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