Provider Demographics
NPI:1508467549
Name:ADEPOJU, KAREN
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:ADEPOJU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12813 EMERALD RIDGE BLVD E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98374-8402
Mailing Address - Country:US
Mailing Address - Phone:760-524-7102
Mailing Address - Fax:
Practice Address - Street 1:KAREN ADEPOJU
Practice Address - Street 2:1058 E MERCER ST.
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102
Practice Address - Country:US
Practice Address - Phone:760-524-7102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-05
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN61063998163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool