MEDICARE: REVEAL ELECTROLYSIS, LLC

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	246Z00000X	Other Specialist/Technologist

General Provider Information

NPI Number	:	1841159027
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REVEAL ELECTROLYSIS, LLC

Provider Business Mailing Address
First Line	:	1715A N 45TH ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-6801
Country	:	US
Telephone Number	:	419-651-8959
Fax Number	:

Provider Business Practice Location Address
First Line	:	1715A N 45TH ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-6801
Country	:	US
Telephone Number	:	419-651-9859
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RAINE ODAT
Credential	:
Telephone Number	:	419-651-8959

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

Similar Medicare Providers

1568520856 — DR. ANNE ALEXANDRA LAWRENCE M.D., PH.D.
Practice Location Address:

6801 28TH AVE NE
SEATTLE, WA
98115-7144

Practice Phone: 206-323-7462
Practice Fax:

1912332909 — THUAN VU NGUYEN RPH
Practice Location Address:

6801 S 133RD ST APT A109
SEATTLE, WA
98178-5098

Practice Phone: 206-265-3151
Practice Fax:

1457163461 — ANJELA MGONDAH CHEYO RN
Practice Location Address:

6801 S 133RD ST APT F351
SEATTLE, WA
98178-5173

Practice Phone: 346-562-5270
Practice Fax:

1184227027 — CAREY ANN THOMPSON
Practice Location Address:

3921 STONE WAY N
SEATTLE, WA
98103-8017

Practice Phone: 206-383-0545
Practice Fax:

1952699308 — DR. JARED D. MICHONSKI PH.D.
Practice Location Address:

600 N 36TH ST STE 305
SEATTLE, WA
98103-8698

Practice Phone: 206-659-8768
Practice Fax: 206-792-3630

1053487355 — DR. JULIE ANNE CHINNOCK CRNA, ND
Practice Location Address:

3800 AURORA AVE N STE 360
SEATTLE, WA
98103-8721

Practice Phone: 206-429-5029
Practice Fax: 206-504-2044

Directions to “REVEAL ELECTROLYSIS, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.