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NPI Code Detail

MEDICARE: MARISSA HELEN FOSTER

MEDICARE: MARISSA HELEN FOSTER
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
1106S00000XBehavior TechnicianWA

General Provider Information

NPI Number : 1578415121
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARISSA HELEN FOSTER
Provider Business Mailing Address
First Line : 1009 112TH ST SE UNIT B204
Second Line :
City : EVERETT
State : WA
Zip : 98208-5036
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6112 GOULD AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98108-2959
Country : US
Telephone Number : 206-659-7246
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2026
Last Update Date : 02/13/2026

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Directions to “ MARISSA HELEN FOSTER ” Practice Location

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