Wa doh expired 2026

1. Click ‘Get Form’ to open the wa doh expired application in the editor.
2. Begin by filling out the Demographic Information section. Enter your Social Security Number, National Provider Identifier (NPI), full legal name, birth date, and place of birth.
3. Provide your permanent address, including city, state, zip code, and county. Ensure all contact numbers and email addresses are accurate for future correspondence.
4. In the Other License section, list any previous credentials held in Washington State along with their details. Attach additional pages if necessary.
5. Complete the Professional Experience section by detailing your work history since your last credentialing. Include start and end dates.
6. Fill out the required attestations regarding AIDS education, disciplinary actions, and continuing education. Make sure to initial and date each attestation.
7. Finally, sign and date the Applicant’s Attestation to confirm that all information provided is true and complete before submitting your application.

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