Healthcare Provider Details

I. General information

NPI: 1336069939
Provider Name (Legal Business Name): MAHWASH ASIFI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 BROADWAY STE 301
TACOMA WA
98402-4454
US

IV. Provider business mailing address

1942 FAWCETT AVE UNIT 423
TACOMA WA
98402-1604
US

V. Phone/Fax

Practice location:
  • Phone: 253-292-4354
  • Fax: 855-373-4001
Mailing address:
  • Phone: 206-755-4333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: