Healthcare Provider Details

I. General information

NPI: 1477478758
Provider Name (Legal Business Name): ALI-CA MADISON-THOMPSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 13TH ST STE 300
EVERETT WA
98201-1621
US

IV. Provider business mailing address

1717 13TH ST STE 300
EVERETT WA
98201-1621
US

V. Phone/Fax

Practice location:
  • Phone: 425-297-5600
  • Fax:
Mailing address:
  • Phone: 425-297-5600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60454994
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: