Provider Demographics
NPI:1144561978
Name:HAUSMAN, DIANA FELICE (MD)
Entity Type:Individual
Prefix:DR
First Name:DIANA
Middle Name:FELICE
Last Name:HAUSMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DIANA
Other - Middle Name:FELICE
Other - Last Name:SABATH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2339 FEDERAL AVE E
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-4031
Mailing Address - Country:US
Mailing Address - Phone:206-527-2648
Mailing Address - Fax:
Practice Address - Street 1:2601 4TH AVE
Practice Address - Street 2:SUITE 500
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98121-3208
Practice Address - Country:US
Practice Address - Phone:206-801-2116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-04
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00028758174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist