Healthcare Provider Details

I. General information

NPI: 1316686223
Provider Name (Legal Business Name): ROXANNE SKYE SCHELTEMA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2022
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 S 320TH ST STE A
FEDERAL WAY WA
98003-4691
US

IV. Provider business mailing address

700 S 320TH ST STE A
FEDERAL WAY WA
98003-4691
US

V. Phone/Fax

Practice location:
  • Phone: 206-956-9570
  • Fax:
Mailing address:
  • Phone: 206-956-9570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: