Individual
SCOTT PETRUSHKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2008 WESTLAKE AVE STE 100, SEATTLE, WA 98121-2695
(206) 999-2615
Mailing address
520 TERRY AVE UNIT 221, SEATTLE, WA 98104-2286
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG61294683
WA
171M00000X
Case Manager/Care Coordinator
Primary
CG61294683
WA
Other
Enumeration date
04/15/2022
Last updated
01/22/2026
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