Individual provider · Type 1 NPI

Dejanique Sheria Northwayde

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

NPI number 1285574566 Active

Practice location

2211 NE 139th St
Vancouver, WA 98686-2742

Call (360) 397-1985 Map

Fax (360) 604-1604

Mailing address

9524 Interlake Ave N Unit B
Seattle, WA 98103-3324

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1285574566

Dejanique Sheria Northwayde's National Provider Identifier is 1285574566, issued on Mar 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Vancouver, WA. The record was last updated on Apr 23, 2026.