# DEEP BRAIN STIMULATION TR

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063740058
- **Authorized official:** CHARLES WILLIAM SCHNEIDER (CEO)
- **Authorized official phone:** (206) 368-1700

## Contact information

- **Practice address:** 1560 N 115TH ST, SUITE G-5, SEATTLE, WA 98133-8414
- **Practice address phone:** (206) 368-5935
- **Practice address fax:** (206) 368-5934
- **Mailing address:** 1560 N 115TH ST, SUITE G-5, SEATTLE, WA 98133-8414
- **Mailing address phone:** (206) 368-5935
- **Mailing address fax:** (206) 368-5934

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/02/2009
- **Last updated:** 04/04/2011
