Provider Demographics
NPI:1598456873
Name:ALANCHE, AMARE ALEMAYEHU
Entity Type:Individual
Prefix:
First Name:AMARE
Middle Name:ALEMAYEHU
Last Name:ALANCHE
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 1:11527 SE 234TH PL
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98031-3403
Mailing Address - Country:US
Mailing Address - Phone:206-883-1443
Mailing Address - Fax:
Practice Address - Street 1:11527 SE 234TH PL
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98031-3403
Practice Address - Country:US
Practice Address - Phone:206-883-1443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-17
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA756264171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator