Individual
MR. FREDERICK EUGENE FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, MSW, CDP
Contact information
Practice address
2133 3RD AVE STE 116, SEATTLE, WA 98121-2353
(206) 432-3574
Mailing address
1824 SW 318TH PL APT D, FEDERAL WAY, WA 98023-5143
(206) 455-0073
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60478808
WA
104100000X
Social Worker
—
—
163WC1500X
Community Health Registered Nurse
Primary
RN60900940
WA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/27/2017
Last updated
10/14/2018
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