Provider Demographics
NPI:1053519215
Name:VIN, MANOSHI (MSW)
Entity type:Individual
Prefix:
First Name:MANOSHI
Middle Name:
Last Name:VIN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15127 NE 24TH ST
Mailing Address - Street 2:UNIT 83
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-5544
Mailing Address - Country:US
Mailing Address - Phone:425-298-6535
Mailing Address - Fax:
Practice Address - Street 1:1800 112TH AVE NE
Practice Address - Street 2:240W
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-2993
Practice Address - Country:US
Practice Address - Phone:425-298-6535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker