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NPI Code Detail

MEDICARE: SUE MCKAIN OT

MEDICARE: SUE MCKAIN OT
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
1174400000XSpecialistOT00000539WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275659211
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUE MCKAIN OT
Provider Business Mailing Address
First Line : 16120 NE 8TH ST
Second Line :
City : BELLEVUE
State : WA
Zip : 98008-3937
Country : US
Telephone Number : 425-653-4308
Fax Number :
Provider Business Practice Location Address
First Line : 16120 NE 8TH ST
Second Line :
City : BELLEVUE
State : WA
Zip : 98008-3937
Country : US
Telephone Number : 425-653-4308
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2007
Last Update Date : 07/08/2007

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Directions to “ SUE MCKAIN OT” Practice Location

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