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NPI Code Detail

MEDICARE: MR. ALEX GERACE

MEDICARE: MR. ALEX GERACE
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
11041C0700XClinical Social WorkerL18069OR
21041C0700XClinical Social WorkerLW60306852WA

General Provider Information

NPI Number : 1912421348
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ALEX GERACE
Provider Business Mailing Address
First Line : 23213 PACIFIC HWY S
Second Line :
City : KENT
State : WA
Zip : 98032-2721
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 23213 PACIFIC HWY S
Second Line :
City : KENT
State : WA
Zip : 98032-2721
Country : US
Telephone Number : 206-520-1448
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2017
Last Update Date : 06/05/2026

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Directions to “ MR. ALEX GERACE ” Practice Location

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