Provider Demographics
NPI:1942083373
Name:ESHETE, ABIGAIL G
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:G
Last Name:ESHETE
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 1:4701 S 166TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATAC
Mailing Address - State:WA
Mailing Address - Zip Code:98188-3285
Mailing Address - Country:US
Mailing Address - Phone:425-633-6192
Mailing Address - Fax:
Practice Address - Street 1:4701 S 166TH ST # A
Practice Address - Street 2:
Practice Address - City:SEATAC
Practice Address - State:WA
Practice Address - Zip Code:98188-3285
Practice Address - Country:US
Practice Address - Phone:206-354-6932
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-17
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst