Provider Demographics
NPI:1861638116
Name:MCFARLANE, JEFF GILE
Entity Type:Individual
Prefix:DR
First Name:JEFF
Middle Name:GILE
Last Name:MCFARLANE
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 1:1900 N 175TH ST
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-5104
Mailing Address - Country:US
Mailing Address - Phone:206-533-9984
Mailing Address - Fax:206-546-8948
Practice Address - Street 1:1900 N 175TH ST
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-5104
Practice Address - Country:US
Practice Address - Phone:206-533-9984
Practice Address - Fax:206-546-8948
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-16
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00003104103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical