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NPI Code Detail

MEDICARE: UNIVERSITY OF WASHINGTON

MEDICARE: UNIVERSITY OF WASHINGTON
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
1261QM0850XAdult Mental Health Clinic/CenterH-128WA
2261QM0855XAdolescent and Children Mental Health Clinic/CenterH-128WA
3261QR1100XResearch Clinic/CenterH-128WA
4261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)H-128WA

General Provider Information

NPI Number : 1720419716
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY OF WASHINGTON
Provider Business Mailing Address
First Line : 3935 UNIVERSITY WAY NE
Second Line : BOX 355915
City : SEATTLE
State : WA
Zip : 98195-5915
Country : US
Telephone Number : 206-543-2782
Fax Number :
Provider Business Practice Location Address
First Line : 3935 UNIVERSITY WAY NE
Second Line : BOX 355915
City : SEATTLE
State : WA
Zip : 98195-5915
Country : US
Telephone Number : 206-543-2782
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : DR. MARSHA MARIE LINEHAN
Credential : PH.D.
Telephone Number : 206-543-9886
Provider Enumeration Date : 12/02/2013
Last Update Date : 12/02/2013

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Directions to “UNIVERSITY OF WASHINGTON ” Practice Location

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