Healthcare Provider Details

I. General information

NPI: 1467927095
Provider Name (Legal Business Name): HANNAH SHERWOOD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

3805 108TH AVE NE STE 204
BELLEVUE WA
98004-7613
US

IV. Provider business mailing address

13210 SE 306TH ST
AUBURN WA
98092-3278
US

V. Phone/Fax

Practice location:
  • Phone: 425-242-1713
  • Fax:
Mailing address:
  • Phone: 425-526-9678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: