# SKAGIT HOSPICE SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Palliative Care of the Northwest
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144690876
- **Authorized official:** TOM C. LITAKER (PRESIDENT)
- **Authorized official phone:** (360) 814-8346

## Contact information

- **Practice address:** 227 FREEWAY DR, SUITE A, MOUNT VERNON, WA 98273-2886
- **Practice address phone:** (360) 814-5550
- **Practice address fax:** (360) 814-5591
- **Mailing address:** 227 FREEWAY DR, SUITE A, MOUNT VERNON, WA 98273-2886
- **Mailing address phone:** (360) 814-5550
- **Mailing address fax:** (360) 814-5591

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | IHS.FS.00000437 | WA | — |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | IHS.FS.00000437 | WA | Yes |
| 363L00000X | Nurse Practitioner | IHS.FS.00000437 | WA | — |
| 363LA2100X | Acute Care Nurse Practitioner | IHS.FS.00000437 | WA | — |
| 363LG0600X | Gerontology Nurse Practitioner | IHS.FS.00000437 | WA | — |

## Other

- **Enumeration date:** 10/07/2015
- **Last updated:** 10/08/2015
