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Contact Information

VIRGINIA AGUSTIN
3639 MARTIN LUTHER KING JR WAY S
SEATTLE, WA98144-6847
 Phone: 206-695-7600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for VIRGINIA AGUSTIN · (Female)

NPI # 1972087104
Status Active
Credentials
Entity Individual
Enumeration date 09/24/2018
Last updated 11/07/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # CP60978301
  • WA Medicaid 2113063
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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