Individual
JASON FREED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1250 NE 145TH ST., SHORELINE, WA 98155
(206) 365-0568
Mailing address
1250 NE 145TH ST., SHORELINE, WA 98155
(206) 365-0568
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
WA
314000000X
Skilled Nursing Facility
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006722
—
WA
Enumeration date
07/24/2018
Last updated
07/24/2018
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