Provider Demographics
NPI:1134391188
Name:SHEENA K AURORA MD PS
Entity type:Organization
Organization Name:SHEENA K AURORA MD PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHEENA
Authorized Official - Middle Name:K
Authorized Official - Last Name:AURORA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-215-3510
Mailing Address - Street 1:1101 MADISON ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-1321
Mailing Address - Country:US
Mailing Address - Phone:206-215-2243
Mailing Address - Fax:206-215-2245
Practice Address - Street 1:1101 MADISON ST
Practice Address - Street 2:SUITE 200
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-1321
Practice Address - Country:US
Practice Address - Phone:206-215-2243
Practice Address - Fax:206-215-2245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-31
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00039177174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8803141Medicare PIN