Organization
SHERWOOD COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JULIE ADAMS (BILLING ADMINISTRATOR)
(425) 404-3107
Entity
Organization
Contact information
Practice address
402 91ST AVE NE, LAKE STEVENS, WA 98258-2530
(425) 334-4071
(425) 335-1894
Mailing address
402 91ST AVE NE, LAKE STEVENS, WA 98258-2530
(425) 334-4071
(425) 335-1894
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8373243
—
WA
05
—
8373268
—
WA
05
—
8373276
—
WA
05
—
8373284
—
WA
05
—
8373318
—
WA
05
—
8374621
—
WA
Enumeration date
09/14/2005
Last updated
11/10/2021
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