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NPI Code Detail

MEDICARE: PIONEER HUMAN SERVICES

MEDICARE: PIONEER HUMAN SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1174296768
Entity Type Code : Organization
Provider Name (Legal Business Name) : PIONEER HUMAN SERVICES
Provider Business Mailing Address
First Line : 7440 W MARGINAL WAY S
Second Line :
City : SEATTLE
State : WA
Zip : 98108-4141
Country : US
Telephone Number : 253-347-3408
Fax Number :
Provider Business Practice Location Address
First Line : 1302 W GARDNER AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99201-2059
Country : US
Telephone Number : 509-720-3304
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF REVENUE
Name : RENA GREENE
Credential :
Telephone Number : 206-766-7041
Provider Enumeration Date : 07/29/2021
Last Update Date : 07/29/2021

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