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NPI Code Detail

MEDICARE: DAVID RADOMSKI

MEDICARE: DAVID RADOMSKI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1053248542
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID RADOMSKI
Provider Business Mailing Address
First Line : 4019 S 150TH ST
Second Line :
City : TUKWILA
State : WA
Zip : 98188-2222
Country : US
Telephone Number : 206-729-2733
Fax Number :
Provider Business Practice Location Address
First Line : 2008 WESTLAKE AVE STE 100
Second Line :
City : SEATTLE
State : WA
Zip : 98121-2695
Country : US
Telephone Number : 206-860-4199
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2026
Last Update Date : 05/07/2026

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Directions to “ DAVID RADOMSKI ” Practice Location

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