Provider Demographics
NPI:1043834948
Name:EMPOWERED HEALTH CORP
Entity Type:Organization
Organization Name:EMPOWERED HEALTH CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAWILSKI
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:253-365-0004
Mailing Address - Street 1:1908 N HUSON ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98406-3457
Mailing Address - Country:US
Mailing Address - Phone:253-365-0004
Mailing Address - Fax:
Practice Address - Street 1:7808 PACIFIC AVE STE 3
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98408-7039
Practice Address - Country:US
Practice Address - Phone:253-503-6178
Practice Address - Fax:253-240-0587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-05
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care