Basic Information
| Provider Information | |||||||||
| NPI: | 1659439032 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ABRAHAMSON | ||||||||
| FirstName: | DANIEL | ||||||||
| MiddleName: | C. | ||||||||
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| Credential: | C.P.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 24366 | ||||||||
| Address2: | |||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981240366 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2065980502 | ||||||||
| FaxNumber: | 2065980516 | ||||||||
| Practice Location | |||||||||
| Address1: | 501 EASTLAKE AVE E | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981095546 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2065984026 | ||||||||
| FaxNumber: | 2065984761 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/05/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 222Z00000X | OI00000303 | WA | X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Orthotist | 224P00000X | PS00000344 | WA | X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Prosthetist |
No ID Information.