Healthcare Provider Details

I. General information

NPI: 1164998241
Provider Name (Legal Business Name): DAVID WILLIAM DOWNING
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/16/2018
Last Update Date: 10/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

999 164TH AVE NE
BELLEVUE WA
98008-3518
US

IV. Provider business mailing address

999 164TH AVE NE
BELLEVUE WA
98008-3518
US

V. Phone/Fax

Practice location:
  • Phone: 425-747-4937
  • Fax:
Mailing address:
  • Phone: 425-747-4937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number00006153
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: