Provider Demographics
NPI:1427893924
Name:OMER, BILAL
Entity type:Individual
Prefix:
First Name:BILAL
Middle Name:
Last Name:OMER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21819 46TH PL S # 78
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032-1406
Mailing Address - Country:US
Mailing Address - Phone:206-899-9792
Mailing Address - Fax:206-899-9792
Practice Address - Street 1:21819 46TH PL S # 78
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-1406
Practice Address - Country:US
Practice Address - Phone:206-899-9792
Practice Address - Fax:206-899-9792
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-26
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator