MEDICARE: MRS. KATHERINE M DEWEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula

General Provider Information

NPI Number	:	1205164977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHERINE M DEWEY

Provider Business Mailing Address
First Line	:	3806 209TH PL SW
Second Line	:
City	:	LYNNWOOD
State	:	WA
Zip	:	98036-6865
Country	:	US
Telephone Number	:	206-949-8867
Fax Number	:

Provider Business Practice Location Address
First Line	:	3726 204TH ST SW
Second Line	:	M104
City	:	LYNNWOOD
State	:	WA
Zip	:	98036-6873
Country	:	US
Telephone Number	:	206-949-8867
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2009
Last Update Date	:	03/10/2026

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