Provider Demographics
NPI:1558597153
Name:SCHLATTER, KRISTAN R (LPO CPO)
Entity Type:Individual
Prefix:MS
First Name:KRISTAN
Middle Name:R
Last Name:SCHLATTER
Suffix:
Gender:F
Credentials:LPO CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 EASTLAKE AVE E
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-5546
Mailing Address - Country:US
Mailing Address - Phone:206-598-4026
Mailing Address - Fax:206-598-4761
Practice Address - Street 1:501 EASTLAKE AVE E
Practice Address - Street 2:SUITE 300
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-5546
Practice Address - Country:US
Practice Address - Phone:206-598-4026
Practice Address - Fax:206-598-4761
Is Sole Proprietor?:No
Enumeration Date:2009-06-09
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOI60026714222Z00000X
WAPS60078067224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist