MEDICARE: BEATTY AND COTTAM PLLC

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)

General Provider Information

NPI Number	:	1871441576
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEATTY AND COTTAM PLLC

Provider Business Mailing Address
First Line	:	15515 3RD AVE SW STE E
Second Line	:
City	:	BURIEN
State	:	WA
Zip	:	98166-2553
Country	:	US
Telephone Number	:	206-258-2010
Fax Number	:

Provider Business Practice Location Address
First Line	:	4744 41ST AVE SW STE 107
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98116-4566
Country	:	US
Telephone Number	:	206-938-8572
Fax Number	:

Authorized Official
Title or Position	:	PRACTICE ADMINISTRATOR
Name	:	SARA M CROSBY
Credential	:
Telephone Number	:	206-258-2010

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

Similar Medicare Providers

1851332522 — VARUN MARRON JHAVERI MD
Practice Location Address:

4744 41ST AVE SW STE 101
SEATTLE, WA
98116-4566

Practice Phone: 206-320-5780
Practice Fax: 206-320-5794

1669566006 — ELLEN L JUHL MD
Practice Location Address:

4744 41ST AVE SW STE 102
SEATTLE, WA
98116-4566

Practice Phone: 206-320-8120
Practice Fax: 206-876-8671

1184709420 — SUSAN M ALTEMEIER MD
Practice Location Address:

4744 41ST AVE SW , SUITE 101
SEATTLE, WA
98116-4566

Practice Phone: 206-320-5780
Practice Fax: 206-320-5794

1093882185 — DR. DARLENE MICHELLE CHAN DDS
Practice Location Address:

4744 41ST AVE SW SUITE 107
SEATTLE, WA
98116-4566

Practice Phone: 206-932-8572
Practice Fax: 206-932-2272

1316099724 — HOLISTIC HEALTH WEST
Practice Location Address:

4744 41ST AVE SW STE 102
SEATTLE, WA
98116-4566

Practice Phone: 206-932-0880
Practice Fax: 206-932-3738

1215118815 — MRS. HA DIEU NGUYEN RONI ARNP
Practice Location Address:

4744 41ST AVE SW STE 101
SEATTLE, WA
98116-4566

Practice Phone: 206-320-5780
Practice Fax: 206-320-5794

Directions to “BEATTY AND COTTAM PLLC ” 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.