MEDICARE: PRESTON MARCHBANKS

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
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1962050518
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRESTON MARCHBANKS

Provider Business Mailing Address
First Line	:	6840 FORT DENT WAY
Second Line	:
City	:	TUKWILA
State	:	WA
Zip	:	98188-8513
Country	:	US
Telephone Number	:	206-858-1310
Fax Number	:

Provider Business Practice Location Address
First Line	:	6840 FORT DENT WAY
Second Line	:
City	:	TUKWILA
State	:	WA
Zip	:	98188-8513
Country	:	US
Telephone Number	:	206-858-1310
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2019
Last Update Date	:	06/23/2023

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Directions to “ PRESTON MARCHBANKS ” Practice Location

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