Individual
LAURA LOGAN BETHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
541 MCGILVRA BLVD E, SEATTLE, WA 98112-5047
(206) 328-6076
Mailing address
541 MCGILVRA BLVD E, SEATTLE, WA 98112-5047
(206) 328-6076
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
PT 00002431
WA
172V00000X
Community Health Worker
Primary
PT 00002431
WA
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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