Individual provider · Type 1 NPI

Derrick Quinn Dos Santos

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

NPI number 1639696479 Active

Practice location

600 Broadway
Seattle, WA 98122-5229

Call (206) 302-2600 Map

Fax (951) 530-5945

Mailing address

6400 Southcenter Blvd
Tukwila, WA 98188-2547

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XCG60790952 (WA)
Counselor 101Y00000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Community Health Worker 172V00000XNone listed
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 1639696479

Derrick Quinn Dos Santos's National Provider Identifier is 1639696479, issued on Aug 23, 2017. 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 Sep 3, 2021.