Organization
4TH LINE SERVICES INCORPROATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER JULIEN ORTIZ (PRESIDENT)
(206) 557-2926
Entity
Organization
Contact information
Practice address
25858 240TH PL SE, MAPLE VALLEY, WA 98038-8211
(206) 557-2926
Mailing address
25858 240TH PL SE, MAPLE VALLEY, WA 98038-8211
(206) 557-2926
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/27/2026
Last updated
02/27/2026
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