Healthcare Provider Details

I. General information

NPI: 1447751383
Provider Name (Legal Business Name): DR. EME UKOT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2018
Last Update Date: 08/23/2023
Certification Date: 08/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 1ST AVE
SEATTLE WA
98104-2210
US

IV. Provider business mailing address

600 1ST AVE
SEATTLE WA
98104-2210
US

V. Phone/Fax

Practice location:
  • Phone: 888-877-7022
  • Fax:
Mailing address:
  • Phone: 888-877-7022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number8081
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: