MEDICARE: MARCUS P COMER

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	106H00000X	Marriage & Family Therapist	MFTA.MG.70062296	WA

General Provider Information

NPI Number	:	1962360149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCUS P COMER

Provider Business Mailing Address
First Line	:	18220 BALLINGER WAY NE
Second Line	:
City	:	LAKE FOREST PARK
State	:	WA
Zip	:	98155-4237
Country	:	US
Telephone Number	:	425-417-8075
Fax Number	:

Provider Business Practice Location Address
First Line	:	18220 BALLINGER WAY NE
Second Line	:
City	:	LAKE FOREST PARK
State	:	WA
Zip	:	98155-4237
Country	:	US
Telephone Number	:	425-417-8075
Fax Number	:

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

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	02/24/2026

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Directions to “ MARCUS P COMER ” Practice Location

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