Provider Demographics
NPI:1629276290
Name:INTEGRATIONWORKS, INC.
Entity Type:Organization
Organization Name:INTEGRATIONWORKS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:A
Authorized Official - Last Name:PETERSEN
Authorized Official - Suffix:
Authorized Official - Credentials:CHP, LMP
Authorized Official - Phone:206-328-5143
Mailing Address - Street 1:5505 BROOKLYN AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-3517
Mailing Address - Country:US
Mailing Address - Phone:206-328-5143
Mailing Address - Fax:206-525-5351
Practice Address - Street 1:5505 BROOKLYN AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3517
Practice Address - Country:US
Practice Address - Phone:206-328-5143
Practice Address - Fax:206-525-5351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00008947174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty