MEDICARE: MR. ZACHARY EUGENIO TOLLEY AAC

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	171M00000X	Case Manager/Care Coordinator	CG60853869	WA

General Provider Information

NPI Number	:	1538631015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ZACHARY EUGENIO TOLLEY AAC

Provider Business Mailing Address
First Line	:	1618 S LANE ST STE 201
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98144-2829
Country	:	US
Telephone Number	:	206-771-6692
Fax Number	:	206-328-6241

Provider Business Practice Location Address
First Line	:	1618 S LANE ST STE 201
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98144-2829
Country	:	US
Telephone Number	:	206-771-6692
Fax Number	:	206-328-6241

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

Provider Enumeration Date	:	12/21/2018
Last Update Date	:	12/21/2018

Similar Medicare Providers

1710552450 — ESME THERESE RODDY
Practice Location Address:

1618 S LANE ST
SEATTLE, WA
98144-2829

Practice Phone: 206-464-1570
Practice Fax: 206-895-4977

1588940894 — ABIGAIL O COOPER OTR/L
Practice Location Address:

1618 S LANE ST STE 400
SEATTLE, WA
98144-2829

Practice Phone: 717-925-9348
Practice Fax:

1073011045 — KATHERINE LORRAINE CRUTSINGER
Practice Location Address:

1618 S LANE ST
SEATTLE, WA
98144-2829

Practice Phone: 206-899-7913
Practice Fax: 206-328-6241

1265900815 — SAMANTHA DOMINGUEZ OPPENHEIMER MSW
Practice Location Address:

1618 S LANE ST STE 201
SEATTLE, WA
98144-2829

Practice Phone: 206-349-7224
Practice Fax:

1407328099 — DAJENAE CARTER
Practice Location Address:

1618 S LANE ST
SEATTLE, WA
98144-2829

Practice Phone: 206-643-7926
Practice Fax:

1780156992 — MICHELLE NAYOUNG KIM MSW
Practice Location Address:

1618 S LANE ST
SEATTLE, WA
98144-2829

Practice Phone: 206-209-9336
Practice Fax:

Directions to “ MR. ZACHARY EUGENIO TOLLEY AAC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.