Celia M. Dastvan, MD

Pediatrics Physician · Everett, WA

Individual Active NPI

NPI number 1346341377

Practice location

12800 Bothell Everett Hwy
Suite 190
Everett, WA 98208-6642
Phone
(425) 316-5160
Fax
(425) 316-5163

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NPI record

NPI
1346341377
Entity type
Individual (Type 1)
Enumeration date
September 25, 2006
Last updated
May 24, 2021
Certified
May 10, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X MD00030850 WA

Mailing address

PO Box 3360
Portland, OR 97208-3360
Phone
(866) 366-2983

Other practice locations (1)

  • 2902 16TH St SW Bldg E1, Lynnwood, WA 98087 · (425) 741-7750

About Dr. Dastvan

Celia M. Dastvan, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 12800 Bothell Everett Hwy, Suite 190, Everett, WA 98208-6642. The NPI number 1346341377 was assigned on September 25, 2006 and the record was last updated on May 24, 2021.

Dr. Dastvan lists a license in the registry: #MD00030850 (WA) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Celia M. Dastvan, MD?

The NPI number is 1346341377.

What is the phone number of Dr. Dastvan?

The phone number listed for the practice location is (425) 316-5160.

Where is Dr. Dastvan located?

12800 Bothell Everett Hwy, Suite 190, Everett, WA 98208-6642.

What is the taxonomy code for Dr. Dastvan?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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