Provider Demographics
NPI:1710056536
Name:TUKWILA SCHOOL DISTRICT
Entity Type:Organization
Organization Name:TUKWILA SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST. DIRECTOR OF STUDENT SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:GWEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:ESTES-ZUEHLKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-901-8035
Mailing Address - Street 1:4640 S 144TH ST
Mailing Address - Street 2:
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98168-4134
Mailing Address - Country:US
Mailing Address - Phone:206-901-8033
Mailing Address - Fax:206-901-8027
Practice Address - Street 1:4640 S 144TH ST
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98168-4134
Practice Address - Country:US
Practice Address - Phone:206-901-8033
Practice Address - Fax:206-901-8027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7441330Medicaid