# SEATTLE PHYSICAL MEDICINE

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

## Provider details

- **NPI number:** 1588907158
- **Authorized official:** MRS. CHRISTINA M DEOLIVEIRA ARNP (OWNER)
- **Authorized official phone:** (206) 713-4721

## Contact information

- **Practice address:** 2004 FAIRVIEW AVE, SEATTLE, WA 98121-2704
- **Practice address phone:** (206) 749-0169
- **Mailing address:** 2004 FAIRVIEW AVE, SEATTLE, WA 98121-2704
- **Mailing address phone:** (206) 749-0169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 363L00000X | Nurse Practitioner | AP60410654 | WA | Yes |

## Other

- **Enumeration date:** 04/02/2013
- **Last updated:** 09/12/2013