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NPI Code Detail

MEDICARE: ROIALTY MCLEMORE

MEDICARE: ROIALTY MCLEMORE
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 TechnicianCBT.CB.61654114WA

General Provider Information

NPI Number : 1881289825
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROIALTY MCLEMORE
Provider Business Mailing Address
First Line : 6400 SOUTHCENTER BLVD
Second Line :
City : TUKWILA
State : WA
Zip : 98188-2547
Country : US
Telephone Number : 206-901-2000
Fax Number :
Provider Business Practice Location Address
First Line : 204 NE 94TH ST
Second Line :
City : SEATTLE
State : WA
Zip : 98115-2752
Country : US
Telephone Number : 206-461-3614
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2021
Last Update Date : 05/26/2026

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Directions to “ ROIALTY MCLEMORE ” Practice Location

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