Healthcare Provider Details

I. General information

NPI: 1982426409
Provider Name (Legal Business Name): MUHAMMED L BARROW LPN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/28/2024
Last Update Date: 10/29/2024
Certification Date: 10/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1640 148TH AVE SE
BELLEVUE WA
98007-6825
US

IV. Provider business mailing address

1525 111TH DR SE
LAKE STEVENS WA
98258-8247
US

V. Phone/Fax

Practice location:
  • Phone: 425-373-1161
  • Fax: 425-373-1662
Mailing address:
  • Phone: 206-714-1311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberLP60258259
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: