Search › Washington › 101Y00000X
Ethan Blackstone, MFTA
NPI 1457823411 · on the registry since 2018
Practice
- Address
- 14216 Ne 21st St
Bellevue, WA 98007 - Phone
- (425) 653-5000
- Clinicians at this address
- 124
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Also registered as
- 390200000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington