NPI 1306818513 · live from the CMS NPI Registry
Miroslav Backonja, MD
Psychiatry & Neurology, Pain Medicine in Seattle, WA. National Provider Identifier 1306818513, active.
NPI record
| NPI | 1306818513 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Pain Medicine 2084P2900X |
| Practice location | 4225 Roosevelt Way Ne Fl 4, Seattle, WA 98105 |
| Practice phone | 206-598-4282 |
| Mailing address | Po Box 50095, Seattle, WA 98145 |
| Enumerated | February 2, 2006 |
| Last updated | April 25, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Pain Medicine primary | 2084P2900X | MD60527403 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.