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Contact Information

SCOTT BOGDANOFF
505 S 336TH ST STE 500
FEDERAL WAY, WA98003-8300
 Phone: 206-962-3535
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SCOTT BOGDANOFF · (Male)

NPI Number 1356755862
Status Active
Credentials
Entity Individual
Enumeration date 06/12/2014
Last updated 10/29/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # AP60482272
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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