Provider Demographics
NPI:1649945437
Name:STEVEN PLINE, PLLC
Entity type:Organization
Organization Name:STEVEN PLINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:PLINE
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, ARNP, PMHNP-BC
Authorized Official - Phone:206-771-1753
Mailing Address - Street 1:2101 4TH AVE STE 350
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98121-2364
Mailing Address - Country:US
Mailing Address - Phone:206-771-1753
Mailing Address - Fax:206-508-4455
Practice Address - Street 1:2101 4TH AVE STE 350
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98121-2364
Practice Address - Country:US
Practice Address - Phone:206-771-1753
Practice Address - Fax:206-508-4455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-12
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)