Healthcare Provider Details

I. General information

NPI: 1104753516
Provider Name (Legal Business Name): MARLOWE RAMIREZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3429 59TH AVE SW
SEATTLE WA
98116-3006
US

IV. Provider business mailing address

3429 59TH AVE SW
SEATTLE WA
98116-3006
US

V. Phone/Fax

Practice location:
  • Phone: 206-422-2542
  • Fax:
Mailing address:
  • Phone: 206-422-2542
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number00123174
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: