Provider Demographics
NPI:1225879992
Name:REKOON, HANNAH M (LSWAA)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:M
Last Name:REKOON
Suffix:
Gender:F
Credentials:LSWAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5108 196TH ST SW C/O RXDX MEDICAL BILLING SVC LLC,
Mailing Address - Street 2:STE 310
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036
Mailing Address - Country:US
Mailing Address - Phone:425-256-7987
Mailing Address - Fax:
Practice Address - Street 1:811 FIRST AVENUE
Practice Address - Street 2:STE 464
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104
Practice Address - Country:US
Practice Address - Phone:425-582-2041
Practice Address - Fax:425-527-0468
Is Sole Proprietor?:No
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASA61529953104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker