Healthcare Provider Details

I. General information

NPI: 1508792821
Provider Name (Legal Business Name): ELLA MAE RATHMANN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 9TH AVE # 359797
SEATTLE WA
98104-2499
US

IV. Provider business mailing address

325 9TH AVE
SEATTLE WA
98104-2499
US

V. Phone/Fax

Practice location:
  • Phone: 206-744-9657
  • Fax:
Mailing address:
  • Phone: 206-744-9657
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSWIA.SC.61673782
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDPT.CO.61650059
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: