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NPI Code Detail

MEDICARE: ARIEL THOMPSON

MEDICARE: ARIEL THOMPSON
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
1171M00000XCase Manager/Care Coordinator
2104100000XSocial Worker

General Provider Information

NPI Number : 1902372618
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIEL THOMPSON
Provider Business Mailing Address
First Line : 6840 FORT DENT WAY STE 350
Second Line :
City : TUKWILA
State : WA
Zip : 98188-8512
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6840 FORT DENT WAY STE 350
Second Line :
City : TUKWILA
State : WA
Zip : 98188-8512
Country : US
Telephone Number : 253-850-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2018
Last Update Date : 12/20/2023

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Directions to “ ARIEL THOMPSON ” Practice Location

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