Healthcare Provider Details

I. General information

NPI: 1225688922
Provider Name (Legal Business Name): TEHREEM KHAN CF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2019
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 159TH PL SE
BOTHELL WA
98012-7648
US

IV. Provider business mailing address

17 159TH PL SE
BOTHELL WA
98012-7648
US

V. Phone/Fax

Practice location:
  • Phone: 253-334-8261
  • Fax:
Mailing address:
  • Phone: 253-334-8261
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: