Healthcare Provider Details

I. General information

NPI: 1104733450
Provider Name (Legal Business Name): RONALD MARTIN MURGO LMHC, SUDP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 17725
SEATTLE WA
98127-1300
US

IV. Provider business mailing address

PO BOX 17725
SEATTLE WA
98127-1300
US

V. Phone/Fax

Practice location:
  • Phone: 206-355-4344
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH00004273
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCP00000237
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: