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NPI Code Detail

MEDICARE: GREGORY LEE ARNOLD

MEDICARE: GREGORY LEE ARNOLD
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
1101Y00000XCounselorRC00054571WA

General Provider Information

NPI Number : 1396971578
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY LEE ARNOLD
Provider Business Mailing Address
First Line : PO BOX 34703
Second Line :
City : SEATTLE
State : WA
Zip : 98124-1703
Country : US
Telephone Number : 206-764-3335
Fax Number : 206-764-0489
Provider Business Practice Location Address
First Line : 10001 17TH PL S
Second Line : LOWER LEVEL
City : SEATTLE
State : WA
Zip : 98168-1615
Country : US
Telephone Number : 206-766-6976
Fax Number : 206-766-6993
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2009
Last Update Date : 06/02/2009

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Directions to “ GREGORY LEE ARNOLD ” Practice Location

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