Organization
SKAGIT HOSPICE SERVICES, LLC
Active
Other names
Palliative Care of the Northwest
Organization subpart
No
Provider details
NPI number
Authorized official
TOM C. LITAKER (PRESIDENT)
(360) 814-8346
Entity
Organization
Contact information
Practice address
227 FREEWAY DR, SUITE A, MOUNT VERNON, WA 98273-2886
(360) 814-5550
(360) 814-5591
Mailing address
227 FREEWAY DR, SUITE A, MOUNT VERNON, WA 98273-2886
(360) 814-5550
(360) 814-5591
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
IHS.FS.00000437
WA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
IHS.FS.00000437
WA
363L00000X
Nurse Practitioner
IHS.FS.00000437
WA
363LA2100X
Acute Care Nurse Practitioner
IHS.FS.00000437
WA
363LG0600X
Gerontology Nurse Practitioner
IHS.FS.00000437
WA
Other
Enumeration date
10/07/2015
Last updated
10/08/2015
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