Provider Demographics
NPI:1114813581
Name:ZERKICH, RAVEN
Entity type:Individual
Prefix:
First Name:RAVEN
Middle Name:
Last Name:ZERKICH
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 1:14330 12TH AVE NE APT 320M
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-3130
Mailing Address - Country:US
Mailing Address - Phone:734-778-4929
Mailing Address - Fax:
Practice Address - Street 1:21701 76TH AVE W STE 301
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-7500
Practice Address - Country:US
Practice Address - Phone:425-230-4858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional