Fulton, Katherine Mary

Fulton, Katherine Mary is an individual health care provider with primary practice located at 17014 59Th Ave Ne , Arlington WA 98223-4875. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Fulton, Katherine Mary can be contacted via phone (360) 435-3985.

Contact Information

Primary practice address
17014 59Th Ave Ne Arlington WA 98223-4875
Fax: (360) 435-7941
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CP60271906 Washington

Profile Details

NPI number 1790200988
LBN Legal business name Fulton, Katherine Mary
Credentials CDP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2017
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790200988 NPPES
Washington MEDICAID CP60271906

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