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Contact Information

BASHIIR ABDULMUMIN
14270 NE 21ST ST # 98007
BELLEVUE, WA98007-3720
 Phone: 425-653-5000
 Fax: 425-653-5010
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for BASHIIR ABDULMUMIN · (Male)

NPI # 1417219478
Status Active
Credentials
Entity Individual
Enumeration date 06/14/2012
Last updated 03/12/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • WA License # CP60238968
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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