Healthcare Provider Details

I. General information

NPI: 1457960833
Provider Name (Legal Business Name): MICHAEL SCHAEFER DUNBRY MA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2020
Last Update Date: 01/23/2024
Certification Date: 01/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3208 50TH ST CT NW STE 202
GIG HARBOR WA
98335-8583
US

IV. Provider business mailing address

PO BOX 34703
SEATTLE WA
98124-1703
US

V. Phone/Fax

Practice location:
  • Phone: 253-280-9888
  • Fax: 253-432-4959
Mailing address:
  • Phone: 206-764-0502
  • Fax: 206-764-0516

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH61327802
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: