Provider Demographics
NPI:1003134941
Name:PASOS, LEANDRO (MD)
Entity Type:Individual
Prefix:DR
First Name:LEANDRO
Middle Name:
Last Name:PASOS
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 1:1712 45TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116-1911
Mailing Address - Country:US
Mailing Address - Phone:206-938-0884
Mailing Address - Fax:
Practice Address - Street 1:12707 30TH AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-4403
Practice Address - Country:US
Practice Address - Phone:206-384-1866
Practice Address - Fax:206-367-4284
Is Sole Proprietor?:No
Enumeration Date:2010-05-15
Last Update Date:2010-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD 00023573208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice