Provider Demographics
NPI:1083849608
Name:NORTHWEST WORK OPTIONS
Entity Type:Organization
Organization Name:NORTHWEST WORK OPTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:DENNIS
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:509-469-9240
Mailing Address - Street 1:210 S 11TH AVE STE 41
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-3221
Mailing Address - Country:US
Mailing Address - Phone:509-469-9240
Mailing Address - Fax:509-469-9258
Practice Address - Street 1:210 S 11TH AVE STE 41
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-3221
Practice Address - Country:US
Practice Address - Phone:509-469-9240
Practice Address - Fax:509-469-9258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-27
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT 3353261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation