Provider Demographics
NPI:1629153861
Name:MURAKAMI, SETSUKO L (AUD, CCC-A)
Entity type:Individual
Prefix:DR
First Name:SETSUKO
Middle Name:L
Last Name:MURAKAMI
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 N 27TH ST UNIT 6918
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98407-5812
Mailing Address - Country:US
Mailing Address - Phone:253-262-6631
Mailing Address - Fax:253-627-7575
Practice Address - Street 1:4733 TACOMA MALL BLVD STE 200
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98409-7110
Practice Address - Country:US
Practice Address - Phone:253-262-6631
Practice Address - Fax:253-627-7575
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2025-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALD60173725231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKAU006WAMedicaid
WA1629153861Medicaid
WA1629153861Medicaid