MEDICARE: ASHLEY MARIE ECKEL M.D. PH.D.

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	207ZP0105X	Clinical Pathology/Laboratory Medicine Physician	MD60879437	WA

General Provider Information

NPI Number	:	1952755068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY MARIE ECKEL M.D. PH.D.

Provider Business Mailing Address
First Line	:	PO BOX 50095
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98145-5095
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1959 NE PACIFIC ST
Second Line	:	BOX 357470
City	:	SEATTLE
State	:	WA
Zip	:	98195-6422
Country	:	US
Telephone Number	:	206-616-9343
Fax Number	:	206-543-3644

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

Provider Enumeration Date	:	04/15/2016
Last Update Date	:	12/10/2025

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