MEDICARE: ANDREA OPALENIK DO

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	207Q00000X	Family Medicine Physician	335384	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1740407436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA OPALENIK DO

Provider Business Mailing Address
First Line	:	3423 13TH AVE W
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98119-1610
Country	:	US
Telephone Number	:	310-990-5941
Fax Number	:	206-787-9007

Provider Business Practice Location Address
First Line	:	3423 13TH AVE W
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98119-1610
Country	:	US
Telephone Number	:	310-990-5941
Fax Number	:	206-787-9007

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

Provider Enumeration Date	:	04/20/2007
Last Update Date	:	02/22/2026

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