Healthcare Provider Details

I. General information

NPI: 1144714379
Provider Name (Legal Business Name): ISABELLA COMPHEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2018
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 OLIVE WAY STE 204
SEATTLE WA
98101-1726
US

IV. Provider business mailing address

509 OLIVE WAY STE 204
SEATTLE WA
98101-1726
US

V. Phone/Fax

Practice location:
  • Phone: 206-329-5255
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: