Provider Demographics
NPI:1134970080
Name:HOPE HEALS NW
Entity type:Organization
Organization Name:HOPE HEALS NW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KIERA
Authorized Official - Middle Name:
Authorized Official - Last Name:DRAGICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-377-3316
Mailing Address - Street 1:PO BOX 431
Mailing Address - Street 2:
Mailing Address - City:LAKE STEVENS
Mailing Address - State:WA
Mailing Address - Zip Code:98258-0431
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7816 72ND DR NE
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98270-7864
Practice Address - Country:US
Practice Address - Phone:425-377-3316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-28
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health