Most Relevant Information
Provider Data
| NPI Number: | 1003395575 |
| Provider Name: | AMY MARTIN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/07/2018 |
| Last Updated: | 08/07/2018 |
Provider Practice Location
14216 NE 21ST ST
BELLEVUE
WA
980073720
Practice Location Phone/Fax
| Phone: | 4256534900 |
| Fax: |
Provider Mailing Location
6400 SOUTHCENTER BLVD
TUKWILA
WA
981882547
Provider Mailing Phone/Fax
| Phone: | 2069012000 |
| Fax: |