Healthcare Provider Details

I. General information

NPI: 1730091901
Provider Name (Legal Business Name): MEGAN E DAVIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16120 NE 8TH ST
BELLEVUE WA
98008-3937
US

IV. Provider business mailing address

16120 NE 8TH ST
BELLEVUE WA
98008-3937
US

V. Phone/Fax

Practice location:
  • Phone: 425-747-4004
  • Fax: 425-747-1069
Mailing address:
  • Phone: 425-747-4004
  • Fax: 425-747-1069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT70151539
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: