Provider Demographics
NPI:1780217521
Name:NORTHWEST CENTER SERVICES
Entity Type:Organization
Organization Name:NORTHWEST CENTER SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SYSTEMS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-378-6345
Mailing Address - Street 1:7272 W MARGINAL WAY S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108-4140
Mailing Address - Country:US
Mailing Address - Phone:206-378-6345
Mailing Address - Fax:
Practice Address - Street 1:7272 W MARGINAL WAY S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-4140
Practice Address - Country:US
Practice Address - Phone:206-378-6345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTHWEST CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-02-20
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No305R00000XManaged Care OrganizationsPreferred Provider Organization