Healthcare Provider Details

I. General information

NPI: 1346551223
Provider Name (Legal Business Name): MEGAN HENDERSON DREVESKRACHT M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2010
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1229 MADISON ST STE 1600
SEATTLE WA
98104-3590
US

IV. Provider business mailing address

PO BOX 5127
EVERETT WA
98206-5127
US

V. Phone/Fax

Practice location:
  • Phone: 206-860-4686
  • Fax:
Mailing address:
  • Phone: 206-860-5414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number60633998
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: