Individual
JOAN LEAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1021 MERCER ST, SEATTLE, WA 98109-4324
(206) 489-2530
(206) 489-2531
Mailing address
4600 92ND AVE SE, MERCER ISLAND, WA 98040-4442
(206) 550-4683
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD61174242
WA
207ND0900X
Dermatopathology Physician
MD61174242
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2189327
—
WA
Enumeration date
04/11/2016
Last updated
04/10/2026
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