Basic Information
| Provider Information | |||||||||
| NPI: | 1386252450 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OPERSTENY | ||||||||
| FirstName: | ESTHER | ||||||||
| MiddleName: | LAUREN | ||||||||
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| Credential: | ARNP, RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 19020 33RD AVE W STE 210 | ||||||||
| Address2: | |||||||||
| City: | LYNNWOOD | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980364748 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4255631500 | ||||||||
| FaxNumber: | 4255631374 | ||||||||
| Practice Location | |||||||||
| Address1: | 751 NE BLAKELY DR | ||||||||
| Address2: | |||||||||
| City: | ISSAQUAH | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980296201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4253135400 | ||||||||
| FaxNumber: | 4253135401 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/15/2020 | ||||||||
| LastUpdateDate: | 01/07/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/07/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN60238010 | WA | N | Nursing Service Providers | Registered Nurse | 363LF0000X | AP61061440 | WA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
ID Information
| ID | Type | State | Issuer | Description | 0429582 | 01 | WA | L&I-VANCOUVER RADIOLOGY | OTHER | 0429579 | 01 | WA | L&I-SOUTH SOUND RADIOLOGY | OTHER | 0429576 | 01 | WA | L&I-RADIA KING CTY | OTHER | 0429577 | 01 | WA | L&I-SWEDISH RADIA EDMONDS | OTHER | 0429578 | 01 | WA | L&I-EVERGREEN RADIA | OTHER | 0429574 | 01 | WA | L&I-RADIA REST OF WA | OTHER | 0429581 | 01 | WA | L&I-SEATTLE RADIOLOGY | OTHER | 2165287 | 05 | WA | MEDICAID |