Provider Demographics
NPI:1245781665
Name:PROJECT ACCESS NORTHWEST
Entity Type:Organization
Organization Name:PROJECT ACCESS NORTHWEST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SALLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:NEILLIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-496-1590
Mailing Address - Street 1:1111 HARVARD AVE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-4205
Mailing Address - Country:US
Mailing Address - Phone:206-788-4024
Mailing Address - Fax:206-382-3507
Practice Address - Street 1:1111 HARVARD AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-4205
Practice Address - Country:US
Practice Address - Phone:206-788-4024
Practice Address - Fax:206-382-3507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-20
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA602586838251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management