Provider Demographics
NPI:1831709724
Name:EWING, AUBREY C (AUD)
Entity type:Individual
Prefix:DR
First Name:AUBREY
Middle Name:C
Last Name:EWING
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:457 SW 148TH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98166-1975
Mailing Address - Country:US
Mailing Address - Phone:206-246-8677
Mailing Address - Fax:
Practice Address - Street 1:457 SW 148TH ST STE 101
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-1975
Practice Address - Country:US
Practice Address - Phone:206-246-8677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-05
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61091267231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist