Provider Demographics
NPI:1952835647
Name:KATRINA IIAMS-HAUSER ND, PLLC
Entity Type:Organization
Organization Name:KATRINA IIAMS-HAUSER ND, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:DR
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:IIAMS-HAUSER
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:425-420-6329
Mailing Address - Street 1:1902 120TH PL SE
Mailing Address - Street 2:SUITE 102A
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-8400
Mailing Address - Country:US
Mailing Address - Phone:425-420-6329
Mailing Address - Fax:425-948-6781
Practice Address - Street 1:1902 120TH PL SE
Practice Address - Street 2:SUITE 102A
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-8400
Practice Address - Country:US
Practice Address - Phone:425-420-6329
Practice Address - Fax:425-948-6781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-19
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60398060261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care