Healthcare Provider Details

I. General information

NPI: 1154677615
Provider Name (Legal Business Name): ELIZABETH C SCHAPER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2012
Last Update Date: 04/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 NINTH AVE SS-UR
SEATTLE WA
98101-2756
US

IV. Provider business mailing address

1100 NINTH AVE M4-PFS
SEATTLE WA
98101-2756
US

V. Phone/Fax

Practice location:
  • Phone: 206-341-1376
  • Fax:
Mailing address:
  • Phone: 206-515-5811
  • Fax: 206-341-0274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW60702184
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: