JASON DWAYNE STEFAN ROSS AAC CMHC INTERN NPI 1124815758

NPI Information

  • NPI: 1124815758
  • Provider Name: JASON DWAYNE STEFAN ROSS, AAC, CMHC INTERN
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 4048 7TH AVE NE APT 203
    SEATTLE, WA
    ZIP 98105
  • Phone: (206) 743-6801

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NPI Details

Jason Dwayne Stefan Ross, AAC, CMHC INTERN is a student in an organized health care education training program in Seattle, WA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jason Dwayne Stefan Ross, AAC, CMHC INTERN NPI is 1124815758. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4048 7TH AVE NE APT 203
SEATTLE, WA
ZIP 98105-586
Phone: (206) 743-6801

The enumeration date for this NPI number is 4/25/2025 and was last updated on 4/25/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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