Provider Demographics
NPI:1235971045
Name:MOHS, MEGHAN K
Entity type:Individual
Prefix:MS
First Name:MEGHAN
Middle Name:K
Last Name:MOHS
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 1:723 S 47TH ST
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-6272
Mailing Address - Country:US
Mailing Address - Phone:651-587-2767
Mailing Address - Fax:
Practice Address - Street 1:723 S 47TH ST
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-6272
Practice Address - Country:US
Practice Address - Phone:651-587-2767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical