Earlene Blake
Community Health Worker in Everett, WA. Individual provider (NPI-1).
NPI number1922835693
StatusActive
Last updated in NPPESSep 17, 2024
Details
- NPI
- 1922835693
- Entity type
- Individual (NPI-1)
- Name
- Earlene Blake
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 17, 2024
- Certification date
- Sep 17, 2024
- Last updated
- Sep 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
9930 Evergreen Way Ste Z150Everett, WA 98204-3889
Phone 206-771-9696
Mailing address
928 22nd Ave SSeattle, WA 98144-2929
Phone 206-771-9696
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 19 Community Health Worker providers in Everett · All 8,245 providers in Everett
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