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Organization
PACIFIC HANDWORKS INC., P.S.
Active
Organization
PACIFIC HANDWORKS INC., P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA VALLON OTR/L, CHT (PRESIDENT/OWNER)
(425) 827-5877
Entity
Organization
Contact information
Practice address
2800 NORTHUP WAY, #200, BELLEVUE, WA 98004-1440
(425) 827-5877
(425) 827-5843
Mailing address
2800 NORTHUP WAY, #200, BELLEVUE, WA 98004-1440
(425) 827-5877
(425) 827-5843
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
OT00000695
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000026062702
UNITED HEALTHCARE
WA
01
—
5477383
AETNA
WA
01
—
55951
DEPT OF LABOR & INDUSTRIE
WA
05
—
8340119
—
WA
01
—
VA0026
REGENCE
WA
Enumeration date
09/21/2006
Last updated
02/21/2008
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