MEDICARE: MS. KAARSTEN MARIE FURMAN LICSW

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1285747923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAARSTEN MARIE FURMAN LICSW

Provider Business Mailing Address
First Line	:	PO BOX 974
Second Line	:
City	:	NEWPORT
State	:	WA
Zip	:	99156-0974
Country	:	US
Telephone Number	:	509-240-4856
Fax Number	:

Provider Business Practice Location Address
First Line	:	328 W 4TH ST
Second Line	:
City	:	NEWPORT
State	:	WA
Zip	:	99156-9094
Country	:	US
Telephone Number	:	509-240-4856
Fax Number	:

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

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	02/08/2019

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