Individual
MICHAEL HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1119 E FIR ST, SEATTLE, WA 98122-5415
(206) 595-4595
Mailing address
1119 E FIR ST # A, SEATTLE, WA 98122-5415
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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