Provider Demographics
NPI:1982895918
Name:ATLAS, DAWN L (LMP)
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:L
Last Name:ATLAS
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4424 BURKE AVE N # 2
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-7546
Mailing Address - Country:US
Mailing Address - Phone:206-914-7800
Mailing Address - Fax:
Practice Address - Street 1:15027 AURORA AVE N
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-6134
Practice Address - Country:US
Practice Address - Phone:206-362-3520
Practice Address - Fax:206-362-3521
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00020507172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist