Provider Demographics
NPI:1801196472
Name:CITY OF KIRKLAND
Entity Type:Organization
Organization Name:CITY OF KIRKLAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE AND ADMINISTRAT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:OLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-587-3146
Mailing Address - Street 1:123 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-6121
Mailing Address - Country:US
Mailing Address - Phone:425-587-3115
Mailing Address - Fax:425-587-3664
Practice Address - Street 1:123 5TH AVE
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-6121
Practice Address - Country:US
Practice Address - Phone:425-587-3115
Practice Address - Fax:425-587-3664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-28
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA17M093416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA17M09OtherSTATE EMS LICENSE