ALICIA GRATTAN JORGENSON (NPI# 1134385719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134385719 |
| Entity Type | Individual |
| Full Name | ALICIA GRATTAN JORGENSON |
| Credential | MD |
| Practice Address |
1135 116th Ave Ne Suite 400 Bellevue WA 98004-4623 |
| Mailing Address |
423 99th Ave Ne Unit 1 Bellevue WA 98004-5450 |
| Practice Telephone | 2069872164 |
| Mailing Telephone | 2068172829 |
| Enumeration Date | 2008-08-02 |
| Last Update Date | 2020-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD60170752 | WA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6520 226th Pl Se Ste 100, Issaquah, WA 980277365 | 2063202961 | 2069912061 |
| 751 Ne Blakely Dr, Issaquah, WA 980296201 | 2063202961 | 2069912061 |
| Street Address |
1135 116TH AVE NE SUITE 400 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-4623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992702443 | The Eastside Endoscopy Center LLC | Clinic/Center | 1135 116th Ave Ne, Suite 570, Bellevue, WA 98004-4623 | 2005-06-30 |
| 1366092728 | Sharpevision Pllc | Optometrist | 1135 116th Ave Ne, Bellevue, WA 98004-4623 | 2019-09-18 |
| 1447775960 | Ngan Kim Hoang | Pharmacist | 1135 116th Ave Ne, #105, Bellevue, WA 98004 | 2017-08-04 |
| 1871831420 | Jacqueline Suzanne Berkeihiser | Counselor | 1135 116th Ave Ne, Suite 400, Bellevue, WA 98004-4623 | 2013-01-16 |
| 1306193255 | Raisa R Volodarsky | Pharmacist | 1135 116th Ave Ne, Suite#105, Bellevue, WA 98004-4623 | 2012-08-09 |
| 1952673238 | Northwest Center for Urology | Urology | 1135 116th Ave Ne, Ll160, Bellevue, WA 98004-4629 | 2012-02-02 |
| 1548545973 | Daniel Hee-chul Hahm | Pharmacist | 1135 116th Ave Ne, Suite#105, Bellevue, WA 98004-4623 | 2011-10-17 |
| 1811272792 | Kendra Lian Marks | Audiologist | 1135 116th Ave Ne, Suite 500, Bellevue, WA 98004-4623 | 2011-10-11 |
| 1134439540 | Aeisha Bhatti Adnan | Physician Assistant | 1135 116th Ave Ne, Suite 620, Bellevue, WA 98004-4623 | 2010-10-19 |
| 1730496092 | Washington Urology Associates, Pllc | Clinic/Center | 1135 116th Ave Ne, Suite 620, Bellevue, WA 98004-4623 | 2010-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710223896 | Jack Raskin | Psychiatry & Neurology | 2624 161st Ave Se, Bellevue, WA 98008-5424 | 2012-12-18 |
| 1306000898 | Amy Lazar | Psychiatry & Neurology | 11820 Northup Way Ste E200, Bellevue, WA 98005-1966 | 2008-07-14 |
| 1497883326 | John Creighton Rose | Psychiatry & Neurology | 14030 Ne 24th St Ste 104, Bellevue, WA 98007-3731 | 2007-03-01 |
| 1023265188 | Romelia Perez | Psychiatry & Neurology | 1611 116th Ave Ne, Suite 132, Bellevue, WA 98004-3045 | 2008-08-20 |
| 1013177237 | Ashok Shimoji-krishnan | Psychiatry & Neurology | 13451 Se 36th St, Bellevue, WA 98006-1475 | 2008-06-11 |
| 1871648204 | Carola E Bosenberg | Psychiatry & Neurology | 1611 116th Ave Ne, Suite 218, Bellevue, WA 98004-3045 | 2007-01-24 |
| 1053487306 | Edward William Freedman | Psychiatry & Neurology | 1621 114th Ave Se, Suite 221, Bellevue, WA 98004-6956 | 2006-11-28 |
| 1851465959 | Irving J Kohlberg | Psychiatry & Neurology | 1300 114th Ave Se, Suite 115, Bellevue, WA 98004-6942 | 2006-11-20 |
| 1699849703 | John F Pastor | Psychiatry & Neurology | 1300 114th Ave Se, Suite 115, Bellevue, WA 98004-6942 | 2006-11-20 |
| 1609960368 | Andrea Eisner | Psychiatry & Neurology | 1135 116th Ave Ne, Suite 400, Bellevue, WA 98004-4623 | 2006-10-03 |
| Find all providers in BELLEVUE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.