Organization Active NPI

Bliss Medical Professionals PLLC

  • Primary Care Clinic/Center
  • Seattle, WA
National Provider Identifier
1164826905
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
BLISS MEDICAL PROFESSIONALS PLLC
Practice address
4200 Aurora Ave N
Seattle, WA 98103-7308
Phone
(206) 620-0611
Fax
(206) 620-0622
NPI assigned
Oct 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Clinton Lee Bliss, MDNPI 1033228655
Title
Doctor Owner
Phone
(206) 620-0611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

4200 Aurora Ave N
Seattle, WA 98103-7308

Mailing address

4200 Aurora Ave N
Seattle, WA 98103-7308
Phone (206) 620-0611

Other names 1

  • Bliss Medical Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190726002395 WA Part B Supplier - Clinic/Group Practice 9234465329 Receives reassigned benefits from 1 practitioner
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory
Tax ID family
Bliss Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1164826905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 AURORA AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037308",
            "telephone_number": "206-620-0611",
            "fax_number": "206-620-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 AURORA AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037308",
            "telephone_number": "206-620-0611",
            "fax_number": "206-620-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLISS MEDICAL PROFESSIONALS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-21",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "BLISS",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "206-620-0611",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bliss Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.