Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | OP60850690 | WA |
NPI | 1003158684 |
---|---|
Provider Name | Pegah Safaeian |
First Address | Seattle, WA 98101-2756 |
Second Address | Seattle, WA 98101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2013 |
Last Update Date | 23/08/2018 |