Individual
STEVE BUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDP
Contact information
Practice address
1700 AIRPORT WAY S, SEATTLE, WA 98134-1618
(206) 223-3644
Mailing address
1700 AIRPORT WAY S, SEATTLE, WA 98134-1618
(206) 413-6910
(360) 413-9026
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP610863202
—
376K00000X
Nurse's Aide
—
—
390200000X
Student in an Organized Health Care Education/Training Program
CO60898121
WA
Other
Enumeration date
11/14/2018
Last updated
09/16/2022
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