Individual
ALLEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
204 NE 94TH ST, SEATTLE, WA 98115-2752
(206) 461-4580
Mailing address
12606 MILITARY RD S, SEATTLE, WA 98168-3041
(206) 602-9385
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
91-0621380
N/A
WA
Enumeration date
10/26/2017
Last updated
10/26/2017
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