Provider Demographics
NPI:1275321804
Name:KARIUKI, DORCAS WACHUKA
Entity type:Individual
Prefix:
First Name:DORCAS
Middle Name:WACHUKA
Last Name:KARIUKI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13110 119TH PL NE APT N24
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-2940
Mailing Address - Country:US
Mailing Address - Phone:206-503-9330
Mailing Address - Fax:
Practice Address - Street 1:13110 119TH PL NE APT N24
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-2940
Practice Address - Country:US
Practice Address - Phone:206-503-9330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAIHS.FS.61635320374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA77772025Medicaid