Provider Demographics
NPI:1366145401
Name:FREY, MEGAN (NBC-HWC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:FREY
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10709 VALLEY VIEW RD UNIT A302
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-3093
Mailing Address - Country:US
Mailing Address - Phone:562-524-5835
Mailing Address - Fax:562-245-5445
Practice Address - Street 1:17990 MIDVALE AVE N UNIT 213
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-4901
Practice Address - Country:US
Practice Address - Phone:562-524-5835
Practice Address - Fax:562-245-5445
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-27
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA174H00000X
WAA-3615350171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No174H00000XOther Service ProvidersHealth Educator