Healthcare Provider Details

I. General information

NPI: 1992232664
Provider Name (Legal Business Name): HELEN M OWENS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HELEN M OWENS RN

II. Dates (important events)

Enumeration Date: 05/12/2017
Last Update Date: 05/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1116 SUMMIT AVE
SEATTLE WA
98101-2831
US

IV. Provider business mailing address

5329 VILLAGE PARK DR SE APT. 2224
BELLEVUE WA
98006-6628
US

V. Phone/Fax

Practice location:
  • Phone: 206-323-0930
  • Fax:
Mailing address:
  • Phone: 425-747-7849
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA0400X
TaxonomyAddiction (Substance Use Disorder) Registered Nurse
License NumberRN00148127
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: