THOMAS C GUSTAFSON NPI 1821213612

NPI Information

  • NPI: 1821213612
  • Provider Name: THOMAS C GUSTAFSON
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Doing Business As: MARKET STREET CLINIC
  • Address: 1717 NW MARKET ST
    SEATTLE, WA
    ZIP 98107
  • Phone: (206) 782-0500

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NPI Details

THOMAS C GUSTAFSON is a general practice in Seattle, WA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee THOMAS C GUSTAFSON NPI is 1821213612. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Market Street Clinic.

The provider's business location address is:

1717 NW MARKET ST
SEATTLE, WA
ZIP 98107-225
Phone: (206) 782-0500
Fax: (206) 782-0502

The provider's authorized official is Thomas Carl Gustafson .
The authorized official title is Physician and has the following contact phone number (206) 782-0500.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 7/14/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyAP30007148WASHINGTONNo
2208D00000XGeneral PracticeOP00001187WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B18175MEDICARE UPINWASHINGTON
2Q57239MEDICARE UPINWASHINGTON
3GAB20109MEDICARE ID-TYPE UNSPECIFIEDWASHINGTONDR. GUSTAFSON'S MEDICARE
49647421MEDICAIDWASHINGTON
51046325MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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