1427173731 NPI number — MS. JOAN TAUSCH DUROE

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427173731 NPI number — MS. JOAN TAUSCH DUROE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DUROE
Provider First Name:
JOAN
Provider Middle Name:
TAUSCH
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
TAUSCH
Provider Other First Name:
JOAN
Provider Other Middle Name:
ELIZABETH
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.S.W.
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1427173731
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1818 WESTLAKE AVE N
Provider Second Line Business Mailing Address:
SUITE 312
Provider Business Mailing Address City Name:
SEATTLE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98109-2777
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-284-5325
Provider Business Mailing Address Fax Number:
206-726-0661

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1818 WESTLAKE AVE N
Provider Second Line Business Practice Location Address:
SUITE 312
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98109-2777
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-284-5325
Provider Business Practice Location Address Fax Number:
206-726-0661
Provider Enumeration Date:
03/20/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  LW00004698 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: DU0030 . This is a "REGENCE BLUE SHIELD" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 143717 . This is a "PREMERA BLUE CROSS" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: LW00004698 . This is a "STATE CLINICAL SOCIAL WOR" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: ABECSW 22296 . This is a "AMERICAN BOARD OF EXAMINE" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com