Individual
MARLON HENAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 RAINIER AVE S, SEATTLE, WA 98144-2839
(206) 818-0817
(206) 470-3857
Mailing address
901 RAINIER AVE S, SEATTLE, WA 98144-2839
(206) 818-0817
(206) 470-3857
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
CG61097214
WA
175T00000X
Peer Specialist
Primary
CG61097214
WA
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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