Basic Information
Provider Information
NPI: 1437592490
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CUNNINGHAM
FirstName: ERIKA
MiddleName: BEHEIM
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: BEHEIM
OtherFirstName: ERIKA
OtherMiddleName: CLAIRE
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 925 SENECA ST
Address2:  
City: SEATTLE
State: WA
PostalCode: 981012742
CountryCode: US
TelephoneNumber: 2065836079
FaxNumber: 2063411881
Practice Location
Address1: 33501 1ST WAY S
Address2:  
City: FEDERAL WAY
State: WA
PostalCode: 980036208
CountryCode: US
TelephoneNumber: 2538382400
FaxNumber: 2538741637
Other Information
ProviderEnumerationDate: 04/09/2013
LastUpdateDate: 09/22/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207R00000XMD60627407WAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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