Provider Demographics
NPI:1093284374
Name:NORTHWEST REGIONAL COUNCIL
Entity Type:Organization
Organization Name:NORTHWEST REGIONAL COUNCIL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-676-6749
Mailing Address - Street 1:600 LAKEWAY DR
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-5236
Mailing Address - Country:US
Mailing Address - Phone:360-676-6749
Mailing Address - Fax:360-738-2451
Practice Address - Street 1:600 LAKEWAY DR
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-5236
Practice Address - Country:US
Practice Address - Phone:360-676-6749
Practice Address - Fax:360-738-2451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-16
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health