Individual provider · Type 1 NPI

Eric Dale Magnuson, SIDPT

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

NPI number 1225655251 Active

Practice location

1305 Seneca St
Seattle, WA 98101-2828

Call (206) 323-0934 Map

Mailing address

4415 Hoyt Ave Apt 1
Everett, WA 98203-2348

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XCO60899549 (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 1225655251

Eric Dale Magnuson, SIDPT's National Provider Identifier is 1225655251, issued on Jun 25, 2020. 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 Jun 25, 2020.