Provider Demographics
NPI:1346303260
Name:CURTIS S BURNETT MD
Entity type:Organization
Organization Name:CURTIS S BURNETT MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER MD
Authorized Official - Prefix:
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:STOWELL
Authorized Official - Last Name:BURNETT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-241-9465
Mailing Address - Street 1:16259 SYLVESTER RD
Mailing Address - Street 2:#401
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98166-3059
Mailing Address - Country:US
Mailing Address - Phone:206-241-9465
Mailing Address - Fax:206-241-9467
Practice Address - Street 1:16259 SYLVESTER RD
Practice Address - Street 2:#401
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98166-3059
Practice Address - Country:US
Practice Address - Phone:206-241-9465
Practice Address - Fax:206-241-9467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA23524207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7116536Medicaid
D72513Medicare UPIN
WA7116536Medicaid