Individual provider · Type 1 NPI

James Waggoner

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

NPI number 1457728693 Active

Practice location

6100 Southcenter Blvd
Tukwila, WA 98188-2442

Call (206) 444-7800 Map

Fax (206) 444-7810

Mailing address

1600 E Olive St, Sound Mental Health
Seattle, WA 98122-2735

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 1457728693

James Waggoner's National Provider Identifier is 1457728693, issued on Aug 24, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tukwila, WA. The record was last updated on Aug 24, 2015.