Individual
P. FAYE BURKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(206) 326-3671
Mailing address
PO BOX 34581, SEATTLE, WA 98124-1581
(509) 241-7316
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
242495
LABOR AND INDUSTRIES
WA
Enumeration date
02/25/2009
Last updated
02/25/2009
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