MEDICARE: PARENT TRUST FOR WASHINGTON CHILDREN

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
1	251300000X	Local Education Agency (LEA)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184831182
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARENT TRUST FOR WASHINGTON CHILDREN

Provider Business Mailing Address
First Line	:	1601 2ND AVE
Second Line	:	SUITE 410
City	:	SEATTLE
State	:	WA
Zip	:	98101-3517
Country	:	US
Telephone Number	:	206-233-0156
Fax Number	:	206-233-0604

Provider Business Practice Location Address
First Line	:	1601 2ND AVE
Second Line	:	SUITE 410
City	:	SEATTLE
State	:	WA
Zip	:	98101-3517
Country	:	US
Telephone Number	:	206-233-0156
Fax Number	:	206-233-0604

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. JACK EDGERTON
Credential	:
Telephone Number	:	206-233-0156

Provider Enumeration Date	:	05/17/2007
Last Update Date	:	08/22/2020

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Directions to “PARENT TRUST FOR WASHINGTON CHILDREN ” Practice Location

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