Provider Demographics
NPI:1770987919
Name:TWO DOORS DOWN, PLLC
Entity type:Organization
Organization Name:TWO DOORS DOWN, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:ALEXANDRS
Authorized Official - Last Name:SWAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:206-769-6792
Mailing Address - Street 1:1800 NW MARKET STREET
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107
Mailing Address - Country:US
Mailing Address - Phone:206-769-6792
Mailing Address - Fax:
Practice Address - Street 1:1800 NW MARKET ST
Practice Address - Street 2:SUITE 200
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-3900
Practice Address - Country:US
Practice Address - Phone:206-769-6792
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-17
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60251724251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA12516247OtherCAQH