Provider Demographics
NPI:1881120566
Name:OPIE, KATHY
Entity type:Individual
Prefix:
First Name:KATHY
Middle Name:
Last Name:OPIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 3RD AVE
Mailing Address - Street 2:#200
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98121-1429
Mailing Address - Country:US
Mailing Address - Phone:206-268-4120
Mailing Address - Fax:
Practice Address - Street 1:2400 3RD AVE
Practice Address - Street 2:#200
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98121-1429
Practice Address - Country:US
Practice Address - Phone:206-268-4120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-02
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program