MEDICARE: ABBEY ERVIN

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1568300457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABBEY ERVIN

Provider Business Mailing Address
First Line	:	1304 29TH ST
Second Line	:
City	:	ANACORTES
State	:	WA
Zip	:	98221-3813
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	850 REPUBLICAN ST # C-432
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98109-4725
Country	:	US
Telephone Number	:	206-744-2556
Fax Number	:

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

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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Directions to “ ABBEY ERVIN ” Practice Location

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