Individual
EDRIE ROY CAMINONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1116 SUMMIT AVE, SEATTLE, WA 98101-2831
(206) 323-0930
Mailing address
1116 SUMMIT AVE, SEATTLE, WA 98101-2831
(206) 323-0930
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
374700000X
Technician
Primary
CM60365523
WA
Other
Enumeration date
06/13/2012
Last updated
10/07/2021
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