Provider Demographics
NPI:1245825868
Name:CONTINUUM PALLIATIVE OF WA A NONPROFIT PC
Entity type:Organization
Organization Name:CONTINUUM PALLIATIVE OF WA A NONPROFIT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:STERN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-499-9977
Mailing Address - Street 1:1000 SE EVERETT MALL WAY STE C
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-2814
Mailing Address - Country:US
Mailing Address - Phone:425-961-9500
Mailing Address - Fax:425-645-6033
Practice Address - Street 1:1000 SE EVERETT MALL WAY STE C
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-2814
Practice Address - Country:US
Practice Address - Phone:425-961-9500
Practice Address - Fax:425-645-6033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-05
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Single Specialty