Healthcare Provider Details

I. General information

NPI: 1952830101
Provider Name (Legal Business Name): AMBIKA DHUNGYEL AAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3639 MLK JR WAY S
SEATTLE WA
98144-6847
US

IV. Provider business mailing address

3639 MLK JR WAY S
SEATTLE WA
98144-6847
US

V. Phone/Fax

Practice location:
  • Phone: 206-695-7600
  • Fax:
Mailing address:
  • Phone: 206-695-7600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberCG60650617
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: