Provider Demographics
NPI:1912396912
Name:NORTHWEST HEALTH AND SAFETY INC
Entity Type:Organization
Organization Name:NORTHWEST HEALTH AND SAFETY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/GM
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:ROYSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-737-8910
Mailing Address - Street 1:6300 NE ST JAMES RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98663-1494
Mailing Address - Country:US
Mailing Address - Phone:360-737-8910
Mailing Address - Fax:360-737-4144
Practice Address - Street 1:6300 NE ST JAMES RD
Practice Address - Street 2:SUITE 106
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98663-1494
Practice Address - Country:US
Practice Address - Phone:360-737-8910
Practice Address - Fax:360-737-4144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-13
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA390526OtherSSPS PROVIDER NUMBER
WA1119176OtherPROVIDER ONE ID