Provider Demographics
NPI:1558158824
Name:AJUSO LLC
Entity type:Organization
Organization Name:AJUSO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:206-413-1332
Mailing Address - Street 1:PO BOX 102
Mailing Address - Street 2:
Mailing Address - City:SILVANA
Mailing Address - State:WA
Mailing Address - Zip Code:98287-0102
Mailing Address - Country:US
Mailing Address - Phone:206-413-1332
Mailing Address - Fax:
Practice Address - Street 1:18420 46TH AVE NW
Practice Address - Street 2:
Practice Address - City:STANWOOD
Practice Address - State:WA
Practice Address - Zip Code:98292-7964
Practice Address - Country:US
Practice Address - Phone:206-413-1332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty
No251B00000XAgenciesCase Management