Provider Demographics
NPI:1316563299
Name:TEAM VOCATIONAL SERVICES
Entity Type:Organization
Organization Name:TEAM VOCATIONAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VOCATIONAL REHABILITATION COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:MARNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MASON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-569-0801
Mailing Address - Street 1:5608 17TH AVE NW STE 596
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-5232
Mailing Address - Country:US
Mailing Address - Phone:206-569-0801
Mailing Address - Fax:206-801-1454
Practice Address - Street 1:5608 17TH AVE NW STE 596
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-5232
Practice Address - Country:US
Practice Address - Phone:206-569-0801
Practice Address - Fax:206-801-1454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-17
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA10533OtherSTATE OF WA DEPARTMENT OF LABOR AND INDUSTRIES VOCATIONAL COUNSELOR PROVIDER ID