Provider Demographics
NPI:1881277390
Name:WAIRIRI, LOISE WANJIRU (MD)
Entity type:Individual
Prefix:
First Name:LOISE
Middle Name:WANJIRU
Last Name:WAIRIRI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LOISE
Other - Middle Name:WANJIRU
Other - Last Name:WAIRIRI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LEAH
Mailing Address - Street 1:PO BOX 356043
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-6043
Mailing Address - Country:US
Mailing Address - Phone:206-598-4817
Mailing Address - Fax:
Practice Address - Street 1:1959 NE PACIFIC ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-3737
Practice Address - Country:US
Practice Address - Phone:206-598-4817
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-03
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAML613022262085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology