Provider Demographics
NPI:1568582096
Name:STRICKLAND, CASEY MARIE (LMP)
Entity Type:Individual
Prefix:MS
First Name:CASEY
Middle Name:MARIE
Last Name:STRICKLAND
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 1:331 BELLEVUE AVE E
Mailing Address - Street 2:107
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-5242
Mailing Address - Country:US
Mailing Address - Phone:206-748-9191
Mailing Address - Fax:206-748-9191
Practice Address - Street 1:331 BELLEVUE AVE E
Practice Address - Street 2:107
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-5242
Practice Address - Country:US
Practice Address - Phone:206-748-9191
Practice Address - Fax:206-748-9191
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00023886174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist