Individual
MONO NHEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1100 PACIFIC AVE, SUITE 201, EVERETT, WA 98201-4261
(425) 374-2846
(425) 374-3272
Mailing address
1519 132ND ST SE, SUITE A, EVERETT, WA 98208-7203
(425) 357-9380
(425) 357-9382
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60022741
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001NH
REGENCE
WA
01
—
0002NH
REGENCE
WA
01
—
0254621
L&I
WA
01
—
1073847240
DSHS
WA
Enumeration date
09/21/2009
Last updated
04/28/2010
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