Provider Demographics
NPI:1558901090
Name:ADVANCEMENT NORTHWEST, LLC
Entity Type:Organization
Organization Name:ADVANCEMENT NORTHWEST, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SILVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-685-4241
Mailing Address - Street 1:410 W BAKERVIEW RD SUITE 110
Mailing Address - Street 2:SPACE 107
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226
Mailing Address - Country:US
Mailing Address - Phone:360-685-4241
Mailing Address - Fax:888-475-7160
Practice Address - Street 1:410 W BAKERVIEW RD SUITE 110
Practice Address - Street 2:SPACE 107
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226
Practice Address - Country:US
Practice Address - Phone:360-685-4241
Practice Address - Fax:888-475-7160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-13
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health