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Contact Information

ELEANOR HEALTH PROFESSIONAL WA, PLLC
4310 COLBY AVE STE 201
EVERETT, WA98203-2338
 Phone: 866-323-2596
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Addiction (Substance Use Disorder)

101YA0400X
 

Addiction Medicine

207QA0401X 08 Physician/Family Practice
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for ELEANOR HEALTH PROFESSIONAL WA PLLC · (Female)

NPI # 1043827132
Status Active
Credentials
Entity Individual
Enumeration date 09/23/2020
Last updated 04/09/2026 - About 2 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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