# SEATTLE SPINE GROUP, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Seattle Regenerative Medicine Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356827828
- **Authorized official:** LUCY SEIPLE HOSTETTER MD (MANAGING MEMBER)
- **Authorized official phone:** (425) 454-0406

## Contact information

- **Practice address:** 1220 116TH AVE NE STE 102, BELLEVUE, WA 98004
- **Practice address phone:** (425) 454-0406
- **Practice address fax:** (425) 454-8225
- **Mailing address:** 1220 116TH AVE NE STE 102, BELLEVUE, WA 98004-3826
- **Mailing address phone:** (425) 454-0406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | MD60174685 | WA | Yes |
| 207X00000X | Orthopaedic Surgery Physician | MD00040889 | WA | — |

## Other

- **Enumeration date:** 07/17/2018
- **Last updated:** 06/11/2019