Healthcare Provider Details

I. General information

NPI: 1053745984
Provider Name (Legal Business Name): MARQUITA ARLETTE STRAUS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2013
Last Update Date: 10/14/2020
Certification Date: 10/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 S OTHELLO ST UNIT 122
SEATTLE WA
98118-3882
US

IV. Provider business mailing address

2662 LOVEJOY CROSSING DR
HAMPTON GA
30228-5964
US

V. Phone/Fax

Practice location:
  • Phone: 206-486-2936
  • Fax:
Mailing address:
  • Phone: 206-486-2936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: