Provider Demographics
NPI:1114261138
Name:HURT, GINGER DALE (CRC)
Entity Type:Individual
Prefix:
First Name:GINGER
Middle Name:DALE
Last Name:HURT
Suffix:
Gender:F
Credentials:CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1715 114TH AVE SE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-6945
Mailing Address - Country:US
Mailing Address - Phone:206-595-3796
Mailing Address - Fax:253-770-1553
Practice Address - Street 1:1715 114TH AVE SE
Practice Address - Street 2:SUITE 200
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-6945
Practice Address - Country:US
Practice Address - Phone:206-595-3796
Practice Address - Fax:253-770-1553
Is Sole Proprietor?:No
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor