Polly Lysen-Halpern
Clinic/Center in Seattle, WA. Organization (NPI-2).
NPI number1023306149
StatusActive
Last updated in NPPESJul 11, 2011
Details
- NPI
- 1023306149
- Entity type
- Organization (NPI-2)
- Legal business name
- Polly Lysen-Halpern
- Organization subpart
- No
- Enumeration date
- Jul 11, 2011
- Last updated
- Jul 11, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | AP30003688 | WA | Yes |
Practice location
3216 Ne 45th PlSuite 212
Seattle, WA 98105-4093
Phone 206-414-9992 · Fax 206-452-3010
Mailing address
3216 Ne 45th PlSuite 212
Seattle, WA 98105-4093
Phone 206-414-9992 · Fax 206-452-3010
Authorized official
Pollyann Lysen-Halpern
Owner
2064149992
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