Healthcare Provider Details

I. General information

NPI: 1427141621
Provider Name (Legal Business Name): JANET TATUM MENEGHINI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANET TATUM

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 02/14/2025
Certification Date: 02/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17530 NE UNION HILL RD STE 270
REDMOND WA
98052-3340
US

IV. Provider business mailing address

17530 NE UNION HILL RD STE 230
REDMOND WA
98052-3340
US

V. Phone/Fax

Practice location:
  • Phone: 425-702-8222
  • Fax: 425-324-9414
Mailing address:
  • Phone: 425-702-8222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLW00005766
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: