Provider Demographics
NPI:1073789988
Name:SOUND ASSOCIATES WESTERN WASHINGTON LLC
Entity Type:Organization
Organization Name:SOUND ASSOCIATES WESTERN WASHINGTON LLC
Other - Org Name:SOUND ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:P
Authorized Official - Last Name:UTIGARD
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:206-782-6770
Mailing Address - Street 1:9776 HOLMAN RD NW
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98117
Mailing Address - Country:US
Mailing Address - Phone:206-782-6770
Mailing Address - Fax:206-957-6003
Practice Address - Street 1:9776 HOLMAN RD NW
Practice Address - Street 2:SUITE 101
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98117
Practice Address - Country:US
Practice Address - Phone:206-782-6770
Practice Address - Fax:206-957-6003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAHA00000409237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty