# NORTH-STAR CARE OF CALIFORNIA PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1922861145
- **Authorized official:** AMANDA L WILSON MD (CEO AND CO-FOUNDER)
- **Authorized official phone:** (413) 221-6113

## Contact information

- **Practice address:** 4016 52ND AVENUE CT NW, GIG HARBOR, WA 98335
- **Practice address phone:** (413) 221-6113
- **Mailing address:** 4810 POINT FOSDICK DR STE 92, GIG HARBOR, WA 98335-1711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/31/2024
- **Last updated:** 01/31/2024