Individual
DERRICK QUINN DOS SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 BROADWAY, SEATTLE, WA 98122-5229
(206) 302-2600
(951) 530-5945
Mailing address
6400 SOUTHCENTER BLVD, TUKWILA, WA 98188-2547
(206) 901-2000
(951) 530-5945
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60790952
WA
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/23/2017
Last updated
09/03/2021
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