Healthcare Provider Details

I. General information

NPI: 1972040012
Provider Name (Legal Business Name): BETHEL TRASK MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2017
Last Update Date: 01/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10700 MERIDIAN AVE. N. SUITE G-11
SEATTLE WA
98133-9509
US

IV. Provider business mailing address

10700 MERIDIAN AVE. N. SUITE G-11
SEATTLE WA
98133-9509
US

V. Phone/Fax

Practice location:
  • Phone: 206-461-4544
  • Fax: 206-461-6939
Mailing address:
  • Phone: 206-461-4544
  • Fax: 206-461-6939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberCG60628724
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: