Provider Demographics
NPI:1194817007
Name:HANDWORKS NORTHWEST PLLC
Entity Type:Organization
Organization Name:HANDWORKS NORTHWEST PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:GILLETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-946-9200
Mailing Address - Street 1:706 GEORGE WASHINGTON WAY
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-4211
Mailing Address - Country:US
Mailing Address - Phone:509-946-9200
Mailing Address - Fax:509-943-0649
Practice Address - Street 1:706 GEORGE WASHINGTON WAY
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-4211
Practice Address - Country:US
Practice Address - Phone:509-946-9200
Practice Address - Fax:509-943-0649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA168303OtherDEPT OF LABOR & INDUSTRIE
DC9718OtherRAILROAD MEDICARE
5960HAOtherREGENCE
DC9718OtherRAILROAD MEDICARE
5960HAOtherREGENCE