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Individual

DR. RODERICK K MAHURIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
8318 196TH ST SW, 2ND FLOOR, EDMONDS, WA 98026-6434
(425) 640-5601
Mailing address
8318 196TH ST SW, 2ND FLOOR, EDMONDS, WA 98026-6434
(425) 640-5601

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY00002281
WA
103T00000X
Psychologist
PY00002281
WA

Other

Enumeration date
04/02/2007
Last updated
09/11/2025
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