Provider Demographics
NPI:1639250251
Name:EDMISON, SUE ZEE (ND LM)
Entity type:Individual
Prefix:DR
First Name:SUE
Middle Name:ZEE
Last Name:EDMISON
Suffix:
Gender:F
Credentials:ND LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 77038
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98177
Mailing Address - Country:US
Mailing Address - Phone:206-957-2015
Mailing Address - Fax:206-957-2016
Practice Address - Street 1:12317 15TH NE
Practice Address - Street 2:S 103
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125
Practice Address - Country:US
Practice Address - Phone:206-957-2015
Practice Address - Fax:206-957-2016
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00000467175F00000X
WAMW00000105176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
5324EDOtherREGENCE INSURANCE FOR ND
ED0111OtherREGENCE INSURANCE FOR LM
WA7045677Medicaid