Individual
SCOTT BOGDANOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
505 S 336TH ST STE 500, FEDERAL WAY, WA 98003-8300
(206) 962-3535
Mailing address
2217 E 46TH AVE, SPOKANE, WA 99223-6407
(509) 868-6964
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60482272
WA
363LP2300X
Primary Care Nurse Practitioner
Primary
AP60482272
WA
Other
Enumeration date
06/12/2014
Last updated
10/29/2019
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