Provider Demographics
NPI:1104025683
Name:STRAUSZ, STEVEN ALVA
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:ALVA
Last Name:STRAUSZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 81ST AVE SE
Mailing Address - Street 2:UNIT 304
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-2246
Mailing Address - Country:US
Mailing Address - Phone:206-275-1259
Mailing Address - Fax:
Practice Address - Street 1:2500 81ST AVE SE
Practice Address - Street 2:UNIT 304
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-2246
Practice Address - Country:US
Practice Address - Phone:206-275-1259
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA994396171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8262032OtherWA STATE DSHS PPN (PERSON