Provider Demographics
NPI:1649868126
Name:BASHUMIKA, FRANK CHARLES (MPH, APRN)
Entity type:Individual
Prefix:MR
First Name:FRANK
Middle Name:CHARLES
Last Name:BASHUMIKA
Suffix:
Gender:M
Credentials:MPH, APRN
Other - Prefix:
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Mailing Address - Street 1:15127 MAIN STREET E SUITE 104
Mailing Address - Street 2:PMB 231
Mailing Address - City:SUMNER
Mailing Address - State:WA
Mailing Address - Zip Code:98390-6901
Mailing Address - Country:US
Mailing Address - Phone:253-988-0798
Mailing Address - Fax:206-673-8050
Practice Address - Street 1:1400 112TH AVE SE
Practice Address - Street 2:STE 100
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-6901
Practice Address - Country:US
Practice Address - Phone:425-615-8930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-09
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAAP61135663363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health