Individual
ALEXIS BOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2312 E DENNY WAY APT D, SEATTLE, WA 98122-2900
(831) 295-4389
Mailing address
2312 E DENNY WAY APT D, SEATTLE, WA 98122-2900
(831) 295-4389
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100000220922
APPLE HEALTH
WA
Enumeration date
09/27/2017
Last updated
07/21/2022
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