Healthcare Provider Details

I. General information

NPI: 1619602190
Provider Name (Legal Business Name): PAIGE MARIE COMBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2022
Last Update Date: 07/19/2022
Certification Date: 07/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 9TH AVE # 359797
SEATTLE WA
98104-2420
US

IV. Provider business mailing address

325 9TH AVE # 359797
SEATTLE WA
98104-2499
US

V. Phone/Fax

Practice location:
  • Phone: 206-744-9605
  • Fax: 206-744-9920
Mailing address:
  • Phone: 206-744-9600
  • Fax: 206-744-9920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: