Provider Demographics
NPI:1669113486
Name:SIELEN, EMILY (CHI-SPANISH)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:SIELEN
Suffix:
Gender:F
Credentials:CHI-SPANISH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4821 LEWIS AVE
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98229-2751
Mailing Address - Country:US
Mailing Address - Phone:414-759-3532
Mailing Address - Fax:
Practice Address - Street 1:4821 LEWIS AVE
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98229-2751
Practice Address - Country:US
Practice Address - Phone:414-759-3532
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC18919171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter