Provider Demographics
NPI:1740840073
Name:WASHINGTON STATE EMPLOYMENT SECURITY DEPARTMENT
Entity type:Organization
Organization Name:WASHINGTON STATE EMPLOYMENT SECURITY DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL SERVICES DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLEY
Authorized Official - Middle Name:T
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-902-0022
Mailing Address - Street 1:PO BOX 9046
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98507-9046
Mailing Address - Country:US
Mailing Address - Phone:360-902-0022
Mailing Address - Fax:360-902-9315
Practice Address - Street 1:212 MAPLE PARK AVE SE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-2347
Practice Address - Country:US
Practice Address - Phone:360-902-0022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-18
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management