IndividualActive
Tavis Dickerson-Young, MD
NPI 1689092363 · Pediatric Emergency Medicine (Pediatrics) Physician · Seattle, WA
Provider details
- NPI number
- 1689092363
- Entity type
- Individual
- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD60741027 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4800 Sand Point Way Ne # Mb.7.520
Seattle, WA 98105-3901
Phone: (206) 987-2599
Approximate (ZIP-level) locationGet directions
Mailing address
4800 Sand Point Way Ne
Seattle, WA 98105-3901
Registry dates
- Enumerated
- 2014-03-31
- Last updated
- 2021-08-18
- Certified
- 2021-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.