Provider Demographics
NPI:1407665490
Name:SEATTLE SLEEP INSTITUTE LLC
Entity type:Organization
Organization Name:SEATTLE SLEEP INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JEANNEIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:DIERINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-419-3974
Mailing Address - Street 1:633 YESLER WAY
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2725
Mailing Address - Country:US
Mailing Address - Phone:206-522-3330
Mailing Address - Fax:
Practice Address - Street 1:633 YESLER WAY
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2725
Practice Address - Country:US
Practice Address - Phone:206-522-3330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic