Individual provider · Type 1 NPI

Waylon M. Waddell

Student in an Organized Health Care Education/Training Program · Seattle, WA

NPI number 1174440952 Active

Practice location

1701 18th Ave S
Seattle, WA 98144-4317

Call (206) 408-5321 Map

Mailing address

325 W Gowe St
Kent, WA 98032-5892

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XCDPT.CO.70092921 (WA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174440952

Waylon M. Waddell's National Provider Identifier is 1174440952, issued on Jul 1, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Seattle, WA. The record was last updated on Aug 20, 2026.