# NORTHWEST VESTIBULAR SERVICES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174657464
- **Authorized official:** CAROL KILLINGSWORTH AUD (OWNER)
- **Authorized official phone:** (206) 325-0645

## Contact information

- **Practice address:** 418 1ST AVE W, SEATTLE, WA 98119-4018
- **Practice address phone:** (206) 325-0645
- **Practice address fax:** (206) 283-9815
- **Mailing address:** 418 1ST AVE W, SEATTLE, WA 98119-4018
- **Mailing address phone:** (206) 325-0645
- **Mailing address fax:** (206) 283-9815

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | CD00001153 | WA | Yes |
| 231HA2400X | Assistive Technology Practitioner Audiologist | CD00001153 | WA | — |
| 231HA2500X | Assistive Technology Supplier Audiologist | CD00001153 | WA | — |

## Other

- **Enumeration date:** 03/16/2007
- **Last updated:** 02/21/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0209957 | L&I | WA |