Provider Demographics
NPI:1881150415
Name:DAVID CASSIUS, MD PS
Entity type:Organization
Organization Name:DAVID CASSIUS, MD PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:CASSIUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-624-9876
Mailing Address - Street 1:901 BOREN AVE STE 900
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-3596
Mailing Address - Country:US
Mailing Address - Phone:206-624-9876
Mailing Address - Fax:206-666-2398
Practice Address - Street 1:2500 HOSPITAL DR BLDG 1
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-4106
Practice Address - Country:US
Practice Address - Phone:206-624-9876
Practice Address - Fax:206-666-2398
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DAVID CASSIUS, MD PS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-02-19
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty