Provider Demographics
NPI:1154451888
Name:DAHMS, DAPHNE DEBORAH (DO)
Entity Type:Individual
Prefix:DR
First Name:DAPHNE
Middle Name:DEBORAH
Last Name:DAHMS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:DAPHNE
Other - Middle Name:DEBORAH
Other - Last Name:DAHMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:P.O. BOX 51145
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115
Mailing Address - Country:US
Mailing Address - Phone:206-495-8458
Mailing Address - Fax:425-353-8041
Practice Address - Street 1:8606 35TH AVE NE
Practice Address - Street 2:SUITE L2
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115
Practice Address - Country:US
Practice Address - Phone:206-495-8458
Practice Address - Fax:425-353-8041
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP00001844207L00000X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8430381Medicaid
WA8430381Medicaid
WA8853881Medicare ID - Type Unspecified
WAG8866349Medicare PIN