Healthcare Provider Details

I. General information

NPI: 1932017332
Provider Name (Legal Business Name): LAUREN NICOLE WORLEY OTR/L
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 17TH AVE
SEATTLE WA
98122-5711
US

IV. Provider business mailing address

514 19TH AVE E APT 108
SEATTLE WA
98112-4083
US

V. Phone/Fax

Practice location:
  • Phone: 206-320-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License NumberOT.61412179
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: