Organization
EASTER SEALS WASHINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CLEVERDON (DIRECTOR)
(360) 337-2222
Entity
Organization
Contact information
Practice address
3100 NW BUCKLIN HILL RD, SUITE 215, SILVERDALE, WA 98383-8358
(360) 337-2222
Mailing address
3100 NW BUCKLIN HILL RD, SUITE 215, SILVERDALE, WA 98383-8358
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CG60408933
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CG60408933
—
WA
Enumeration date
03/11/2016
Last updated
03/11/2016
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