Provider Demographics
NPI:1073719167
Name:SKAGIT CLINICAL CONSULTANTS INC
Entity Type:Organization
Organization Name:SKAGIT CLINICAL CONSULTANTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHAEFFER
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:360-202-3410
Mailing Address - Street 1:2014 29TH PL
Mailing Address - Street 2:
Mailing Address - City:ANACORTES
Mailing Address - State:WA
Mailing Address - Zip Code:98221-3870
Mailing Address - Country:US
Mailing Address - Phone:360-202-3410
Mailing Address - Fax:360-588-1902
Practice Address - Street 1:208 S 14TH ST
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98274-4117
Practice Address - Country:US
Practice Address - Phone:360-424-2600
Practice Address - Fax:360-416-8390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30002152363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1720038631OtherCATHARINE L. SCHAEFFER
WA1720038631OtherCATHARINE L. SCHAEFFER
WAAB33769Medicare ID - Type UnspecifiedCATHARINE L. SCHAEFFER NP