Provider Demographics
NPI:1972394757
Name:STOLLOW, JULIE-ANNA
Entity type:Individual
Prefix:
First Name:JULIE-ANNA
Middle Name:
Last Name:STOLLOW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8727 PHINNEY AVE N # 52
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-3878
Mailing Address - Country:US
Mailing Address - Phone:631-578-8264
Mailing Address - Fax:
Practice Address - Street 1:1437 S JACKSON ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-2101
Practice Address - Country:US
Practice Address - Phone:631-578-8264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty