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EVAN FAIRBOURN
NPI 1174390876
Counselor - Mental Health in Seattle, WA

Active since December 04, 2023
1600 S LANE ST, SEATTLE, WA 98144(206) 682-2371 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 7, 2025, Dec 4, 2023 (2 updates tracked since 2023).

About Evan Fairbourn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVAN FAIRBOURN (NPI 1174390876) is an individual mental health provider in Seattle, Washington and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1174390876
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameEVAN FAIRBOURN
Location Address1600 S LANE STSeattle, WA 98144-2810
Mailing Address325 W Gowe StKent, WA 98032-5892 · (253) 833-7444
Phone(206) 682-2371
Sole ProprietorNo
Enumeration DateDecember 4, 2023
Last NPPES UpdateJanuary 13, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2025
✔ NPI 1174390876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1600 S LANE ST, Seattle, WA 98144
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FANTA GIBBA
Counselor
1600 S LANE ST
SEATTLE, WA 98144
King County (206) 682-2371
LYDIA YOUNG
Case Manager/Care Coordinator
1600 S LANE ST
SEATTLE, WA 98144
King County (313) 617-5505
HANI ABUASSI
Social Worker
1600 S LANE ST
SEATTLE, WA 98144
King County (253) 285-9216
ANNELIESE ECHO BLACK RN
Registered Nurse
1600 S LANE ST
SEATTLE, WA 98144
King County (206) 682-2371
CLARA JULIANO RN
Registered Nurse
1600 S LANE ST
SEATTLE, WA 98144
King County (206) 628-2371
CORICTSA MONTES RN 60820224
Registered Nurse
1600 S LANE ST
SEATTLE, WA 98144
King County (206) 682-2371
MEGAN WILDHOOD
Case Manager/Care Coordinator
1600 S LANE ST
SEATTLE, WA 98144
King County (206) 682-2371
EMMA NAUMAN RN
Nurse Practitioner (Psychiatric/Mental Health)
1600 S LANE ST
SEATTLE, WA 98144
King County (206) 682-2371

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evan Fairbourn's NPI number?

The NPI number for Evan Fairbourn is 1174390876. It was assigned to this individual provider in the NPPES registry on December 4, 2023.

Where is Evan Fairbourn located?

Evan Fairbourn practices at 1600 S Lane St, Seattle, WA 98144. The listed phone number is (206) 682-2371.

What is Evan Fairbourn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Evan Fairbourn was last updated on January 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.