NORTHWEST RESOURCES II NPI 1770647778

NPI Information

NPI: 1770647778
Provider Name: NORTHWEST RESOURCES II
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

CLIA Number: 50D2203619

Address:
325 S 3RD STREET
SHELTON, WA
ZIP 98584
Phone: (360) 426-0890
Get Directions

NORTHWEST RESOURCES II is an addiction (substance use disorder) counselor in Shelton, WA. NORTHWEST RESOURCES II NPI is 1770647778. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

325 S 3RD STREET
SHELTON, WA
ZIP 98584-735
Phone: (360) 426-0890
Fax: (360) 426-4688

The provider's authorized official is Dennis R Neal .
The authorized official title is Clinical Director and has the following contact phone number (360) 943-8810.

The CLIA number assigned to this NPI record is 50D2203619 - other - drug treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/21/2006 and was last updated on 3/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YP2500X	Counselor	Professional	No
2	251S00000X	Community/Behavioral Health		No
3	324500000X	Substance Abuse Rehabilitation Facility		No
4	363LF0000X	Nurse Practitioner	Family	No
5	101Y00000X	Counselor		No
6	101YM0800X	Counselor	Mental Health	No
7	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
8	363LP2300X	Nurse Practitioner	Primary Care	No
9	101YA0400X	Counselor	Addiction (Substance Use Disorder)	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1055102	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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