Individual provider · Type 1 NPI

Dallas R. Coursey, SUDPT

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

NPI number 1245957018 Active

Practice location

515 3rd Ave
Seattle, WA 98104-2304

Call (206) 464-1570 Map

Mailing address

4008 212th St SW Apt A104
Mountlake Terrace, WA 98043-3567

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XCO61361005 (WY)

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 1245957018

Dallas R. Coursey, SUDPT's National Provider Identifier is 1245957018, issued on Oct 24, 2022. 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 Oct 22, 2026.