Healthcare Provider Details

I. General information

NPI: 1811162498
Provider Name (Legal Business Name): MS. DOROTHY MARIE SHERWOOD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2008
Last Update Date: 04/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6242 WOODLAWN AVE N
SEATTLE WA
98103-5717
US

IV. Provider business mailing address

6242 WOODLAWN AVE N
SEATTLE WA
98103-5717
US

V. Phone/Fax

Practice location:
  • Phone: 206-235-7595
  • Fax: 206-365-5569
Mailing address:
  • Phone: 206-235-7595
  • Fax: 206-365-5569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number2302
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number2302
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: