Provider Demographics
NPI:1427141621
Name:TATUM MENEGHINI, JANET
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:TATUM MENEGHINI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:
Other - Last Name:TATUM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:17530 NE UNION HILL RD STE 230
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-3340
Mailing Address - Country:US
Mailing Address - Phone:425-702-8222
Mailing Address - Fax:
Practice Address - Street 1:17530 NE UNION HILL RD STE 270
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-3340
Practice Address - Country:US
Practice Address - Phone:425-702-8222
Practice Address - Fax:425-324-9414
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW00005766104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAB18824Medicare ID - Type Unspecified