James Waggoner
Student in an Organized Health Care Education/Training Program in Tukwila, WA. Individual provider (NPI-1).
NPI number1457728693
StatusActive
Last updated in NPPESAug 24, 2015
Details
- NPI
- 1457728693
- Entity type
- Individual (NPI-1)
- Name
- James Waggoner
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 24, 2015
- Last updated
- Aug 24, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
6100 Southcenter BlvdTukwila, WA 98188-2442
Phone 206-444-7800 · Fax 206-444-7810
Mailing address
1600 E Olive StSound Mental Health
Seattle, WA 98122-2735
Phone 206-302-2210
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All 45 Student in an Organized Health Care Education/Training Program providers in Tukwila · All 1,891 providers in Tukwila
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