Individual
ETHAN JACK DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
2300 130TH AVE NE STE 101, BELLEVUE, WA 98005-1755
(425) 533-5402
Mailing address
401 E MERCER ST APT 301, SEATTLE, WA 98102-5396
(541) 521-4929
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.LL.70139819
WA
Other
Enumeration date
06/25/2026
Last updated
06/25/2026
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