Organization
THERAPEUTIC HEALTH SERVICES
Active
Other names
Shoreline Branch
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN POTTER (BILLING MANAGER)
(206) 323-0930
Entity
Organization
Contact information
Practice address
16715 AURORA AVE N STE 102, SHORELINE, WA 98133-5310
(206) 323-0930
(206) 454-3778
Mailing address
5802 RAINIER AVE S, SEATTLE, WA 98118-2706
(206) 723-1980
(206) 721-3930
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1991116
—
WA
Enumeration date
09/29/2006
Last updated
10/04/2023
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