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Individual

DAVID S DESCHENES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
1401 S LAVENTURE RD, MOUNT VERNON, WA 98274-6033
(360) 424-2400
(360) 424-2418
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
(206) 264-8689

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT00001264
WA
225XH1200X
Hand Occupational Therapist
Primary
OT00001264
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0222958
DEPARTMENT OF L&I
WA
01
0222959
DEPARTMENT OF L&I
WA
01
7073209
AETNA
WA
01
72843
LABOR & INDUSTRIES
WA
05
7680465
WA
01
7728DE
REGENCE/BLUE SHIELD
WA
01
8487928
DSHS
WA
01
8944931
L&I CRIME VICTIMS
WA
01
9115DE
REGENCE/BLUE SHIELD
WA
01
R10001
REGENCE BLUE SHIELD
WA
Enumeration date
08/31/2006
Last updated
03/28/2013
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