Individual
PATRICK A MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
10344 14TH AVE S, SEATTLE, WA 98168-1689
(206) 767-0244
Mailing address
10344 14TH AVE S, SEATTLE, WA 98168-1689
(206) 767-0244
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60249686
WA
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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