Provider Demographics
NPI:1497132575
Name:THOMPSON, ANDREW K
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:K
Last Name:THOMPSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 HORIZON VIEW DR
Mailing Address - Street 2:
Mailing Address - City:SEQUIM
Mailing Address - State:WA
Mailing Address - Zip Code:98382-9312
Mailing Address - Country:US
Mailing Address - Phone:425-524-6180
Mailing Address - Fax:
Practice Address - Street 1:19309 68TH AVE S
Practice Address - Street 2:STE. R-101
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-2105
Practice Address - Country:US
Practice Address - Phone:425-358-8548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-28
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist