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Contact Information

MARSHAN M MOULTRY
1100 VIRGINIA ST SUITE 210
SEATTLE, WA98101
 Phone: 206-470-3856
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for MARSHAN M MOULTRY · (Male)

NPI # 1023481504
Status Active
Credentials
Entity Individual
Enumeration date 11/05/2015
Last updated 11/05/2015 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • WA License # CO60539426
  • WA License # MG60582705
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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