Most Relevant Information
Provider Data
| NPI Number: | 1003653213 |
| Provider Name: | COLLEEN AURORA SELNESS |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/15/2024 |
| Last Updated: | 07/15/2024 |
Provider Practice Location
1959 NE PACIFIC ST
SEATTLE
WA
981950001
Practice Location Phone/Fax
| Phone: | 2065430903 |
| Fax: |
Provider Mailing Location
1959 NE PACIFIC ST
SEATTLE
WA
981956365
Provider Mailing Phone/Fax
| Phone: | 2065430903 |
| Fax: |