Provider Demographics
NPI:1184021818
Name:RAHMANI, FARNOOSH
Entity Type:Individual
Prefix:
First Name:FARNOOSH
Middle Name:
Last Name:RAHMANI
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 1:420 BLANCHARD ST APT 508
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98121-1802
Mailing Address - Country:US
Mailing Address - Phone:206-441-7732
Mailing Address - Fax:
Practice Address - Street 1:1959 NE PACIFIC ST RM CC404
Practice Address - Street 2:BOX356172
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-6172
Practice Address - Country:US
Practice Address - Phone:206-598-4247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-24
Last Update Date:2014-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALR604788812279C0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279C0205XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredCritical Care