Healthcare Provider Details

I. General information

NPI: 1376470252
Provider Name (Legal Business Name): EBRIMA DEMBO DRAMMEH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19270 AURORA AVE N APT 508
SHORELINE WA
98133-3994
US

IV. Provider business mailing address

19270 AURORA AVE N APT 508
SHORELINE WA
98133-3994
US

V. Phone/Fax

Practice location:
  • Phone: 425-521-8882
  • Fax:
Mailing address:
  • Phone: 425-521-8882
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberNA61088231
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: