Provider Demographics
NPI:1487051124
Name:SEATTLE SURGICAL ASSISTING, PLLC
Entity type:Organization
Organization Name:SEATTLE SURGICAL ASSISTING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRSITIE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:RECINTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-498-2714
Mailing Address - Street 1:4537 140TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-2339
Mailing Address - Country:US
Mailing Address - Phone:206-498-2714
Mailing Address - Fax:
Practice Address - Street 1:4537 140TH AVE SE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-2339
Practice Address - Country:US
Practice Address - Phone:206-498-2714
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-24
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00036261207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty