Basic Information
| Provider Information | |||||||||
| NPI: | 1447518220 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MOTZ | ||||||||
| FirstName: | PRIYA | ||||||||
| MiddleName: | RAJENDRA | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DO | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | PATEL | ||||||||
| OtherFirstName: | PRIYA | ||||||||
| OtherMiddleName: | RAJENDRA | ||||||||
| OtherNamePrefix: | |||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | DO | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 20200 54TH AVENUE W | ||||||||
| Address2: | |||||||||
| City: | LYNNWOOD | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980366389 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4256726400 | ||||||||
| FaxNumber: | 4256726518 | ||||||||
| Practice Location | |||||||||
| Address1: | HARBORVIEW MEDICAL CENTER 325 9TH AVE | ||||||||
| Address2: | |||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 98195 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2067443261 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/30/2012 | ||||||||
| LastUpdateDate: | 03/21/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| AuthorizedOfficialMiddleName: | |||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2083X0100X | OP60652667 | WA | Y | Allopathic & Osteopathic Physicians | Preventive Medicine | Occupational Medicine | 208D00000X | OP60652667 | WA | N | Allopathic & Osteopathic Physicians | General Practice |
No ID Information.