Provider Demographics
NPI:1124316641
Name:HELGERSON, STEVEN DALE (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:DALE
Last Name:HELGERSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 BELMONT AVE E
Mailing Address - Street 2:SUITE F11
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-4875
Mailing Address - Country:US
Mailing Address - Phone:206-329-3070
Mailing Address - Fax:
Practice Address - Street 1:601 BELMONT AVE E
Practice Address - Street 2:SUITE F11
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-4875
Practice Address - Country:US
Practice Address - Phone:206-329-3070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-18
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000145162083P0901X
MT109642083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine