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 National Provider Identifier (NPI) and Social Security Number (SSN) if applicable. If you do not have an SSN, refer to the Declaration of No Social Security Number Form.
3. Provide your Legal Name, Birth Date, and Address. Ensure that all information is accurate as it will be used for correspondence regarding your license.
4. List any Other License, Certification, or Registration you have held since your last credentialing in Washington State. Include details such as the state, profession, and year issued.
5. Detail your Professional Experience since your Washington State credential expired. Include start and end dates for each position.
6. Complete the Disciplinary Action Attestation and Continuing Education Attestation sections by certifying that you meet all requirements.
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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