Healthcare Provider Details

I. General information

NPI: 1871966119
Provider Name (Legal Business Name): DENISE URE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2015
Last Update Date: 08/28/2024
Certification Date: 08/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4501 RAINIER AVE S
SEATTLE WA
98118-1656
US

IV. Provider business mailing address

1025 N 36TH ST # C
SEATTLE WA
98103-8824
US

V. Phone/Fax

Practice location:
  • Phone: 206-713-3296
  • Fax:
Mailing address:
  • Phone: 206-713-3296
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSC61479456
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberSC61479456
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: