NPI 1053698084

Premise Health of Washington Medical, P.C

Organisation General Practice Physician Seattle, WA

Practice location

Address: 651 N 34th St, Seattle, WA 98103-8846
Phone: (650) 214-6369
Mailing address: 5500 Maryland Way Suite 400, Brentwood, TN 37027-4948

Authorised official

Name: Jon Leizman
Title: President
Phone: (216) 479-9063

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Washington →

Registry record

NPI: 1053698084
Entity type: Organization
NPI issued: 4 Nov 2011
Record last updated: 15 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.