Provider Demographics
NPI:1659358216
Name:DANAHER, ANNE
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:DANAHER
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 1:17034 122ND AVE SE
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98058-6051
Mailing Address - Country:US
Mailing Address - Phone:425-255-7953
Mailing Address - Fax:
Practice Address - Street 1:16940 116TH AVE SE
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98058-5952
Practice Address - Country:US
Practice Address - Phone:425-226-2901
Practice Address - Fax:425-235-9080
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA42924183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician