Provider Demographics
NPI:1245616671
Name:UNREIN, MEGAN (LMP)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:UNREIN
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1316 KING ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98229-6263
Mailing Address - Country:US
Mailing Address - Phone:360-306-8073
Mailing Address - Fax:360-783-6761
Practice Address - Street 1:1316 KING ST
Practice Address - Street 2:SUITE 3
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98229-6263
Practice Address - Country:US
Practice Address - Phone:360-306-8073
Practice Address - Fax:360-783-6761
Is Sole Proprietor?:No
Enumeration Date:2015-08-07
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60580367174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist