Basic Information
| Provider Information | |||||||||
| NPI: | 1639151152 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SIEMION | ||||||||
| FirstName: | VALERIA | ||||||||
| MiddleName: | ANNE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 2153 DEPT 40339 | ||||||||
| Address2: | |||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352879387 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7062710100 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 11521 NE 128TH ST | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | KIRKLAND | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980344317 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4258996800 | ||||||||
| FaxNumber: | 4258996808 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/18/2005 | ||||||||
| LastUpdateDate: | 08/20/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/20/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD00027042 | WA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 123366 | 01 | WA | LABOR & INDUSTRIES | OTHER | 1448SI | 01 | WA | BLUE SHIELD | OTHER | 8140592 | 05 | WA | MEDICAID | P00163316 | 01 | WA | MEDICARE RAILROAD | OTHER |