Provider Demographics
NPI:1255682902
Name:EASTER SEALS WASHINGTON
Entity Type:Organization
Organization Name:EASTER SEALS WASHINGTON
Other - Org Name:OLYMPIC PENINSULA AUTISM CENTER (OPAC)
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BISAILLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-281-5700
Mailing Address - Street 1:200 W MERCER ST
Mailing Address - Street 2:SUITE 210E
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98119
Mailing Address - Country:US
Mailing Address - Phone:206-281-5700
Mailing Address - Fax:
Practice Address - Street 1:3100 NW BUCKLIN HILL RD NW
Practice Address - Street 2:SUITE 215
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-8360
Practice Address - Country:US
Practice Address - Phone:360-337-2222
Practice Address - Fax:360-850-0211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-20
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health