Provider Demographics
NPI:1477088862
Name:REFUGEE WOMEN'S ALLIANCE
Entity Type:Organization
Organization Name:REFUGEE WOMEN'S ALLIANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MAHNAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:ESHETU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-721-0243
Mailing Address - Street 1:4008 MLK JR WAY S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108-1623
Mailing Address - Country:US
Mailing Address - Phone:206-721-0243
Mailing Address - Fax:
Practice Address - Street 1:4008 MLK JR WAY S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-1623
Practice Address - Country:US
Practice Address - Phone:206-721-0243
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-24
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA250251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health