Individual provider · Type 1 NPI

Keenae Marike Tiersma, MD

Student in an Organized Health Care Education/Training Program · Seattle, WA

NPI number 1376483420 Active

Practice location

850 Republican St
Seattle, WA 98109-4725

Call (206) 543-6806 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1376483420

Keenae Marike Tiersma, MD's National Provider Identifier is 1376483420, issued on Mar 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Seattle, WA. The record was last updated on Mar 30, 2026.