Healthcare Provider Details

I. General information

NPI: 1578022737
Provider Name (Legal Business Name): BERENICE SANCHEZ-PRECIADO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2019
Last Update Date: 03/27/2019
Certification Date:
Deactivation Date: 03/18/2019
Reactivation Date: 03/27/2019

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: 425-586-2347
  • Fax: 425-957-0351
Mailing address:
  • Phone: 425-586-2347
  • Fax: 425-957-0351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: