Provider Demographics
NPI:1952567117
Name:ASTHMA EDUCATION CENTERS OF AMERICA, INC.
Entity Type:Organization
Organization Name:ASTHMA EDUCATION CENTERS OF AMERICA, INC.
Other - Org Name:ASTHMA EDUCATION CENTER OF THE NORTHWEST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:L
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:RN, AE-C
Authorized Official - Phone:360-567-3984
Mailing Address - Street 1:19215 SE 34TH ST STE 106
Mailing Address - Street 2:PMB 379
Mailing Address - City:CAMAS
Mailing Address - State:WA
Mailing Address - Zip Code:98607-8830
Mailing Address - Country:US
Mailing Address - Phone:360-567-3984
Mailing Address - Fax:360-567-3985
Practice Address - Street 1:821 NW FREMONT ST
Practice Address - Street 2:
Practice Address - City:CAMAS
Practice Address - State:WA
Practice Address - Zip Code:98607-9376
Practice Address - Country:US
Practice Address - Phone:360-567-3984
Practice Address - Fax:360-567-3985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-06
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00077876163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty