Provider Demographics
NPI:1215028394
Name:SWENDROWSKI, PAMELA R (MS,CCC-A)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:R
Last Name:SWENDROWSKI
Suffix:
Gender:F
Credentials:MS,CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 BROADWAY STE 830
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-4328
Mailing Address - Country:US
Mailing Address - Phone:206-328-4327
Mailing Address - Fax:206-328-4404
Practice Address - Street 1:801 BROADWAY STE 830
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-4328
Practice Address - Country:US
Practice Address - Phone:206-328-4327
Practice Address - Fax:206-328-4404
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALD00002040231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA16540-000OtherSH DIRECT
WA7619KROtherREGENCE
WA164298OtherL&I
WA9044975Medicaid
WA7088396Medicaid
WAMA5615OtherPREMERABC
WA016540-0000OtherSH-NONDIRECT
WA7089592Medicaid
WA9044975Medicaid