Organization
THERAPEUTIC HEALTH SERVICES
Active
Other names
Everett Snohomish Branch
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN POTTER (BILLING MANAGER)
(206) 323-0930
Entity
Organization
Contact information
Practice address
9930 EVERGREEN WAY STE Z150, EVERETT, WA 98204-3889
(425) 347-5121
(425) 353-6425
Mailing address
1116 SUMMIT AVE, SEATTLE, WA 98101-2831
(206) 323-0930
(206) 454-3778
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1994664
—
WA
Enumeration date
10/11/2006
Last updated
03/08/2023
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