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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 : 1790153682
Entity Type Code : Organization
Provider Name (Legal Business Name) : PIONEER HUMAN SERVICES
Provider Business Mailing Address
First Line : PIONEER HUMAN SERVICES - CONTRACTS
Second Line : 7440 W MARGINAL WAY S
City : SEATTLE
State : WA
Zip : 98108-4141
Country : US
Telephone Number : 206-768-1990
Fax Number : 206-768-8910
Provider Business Practice Location Address
First Line : 910 W BOONE AVE STE 201
Second Line :
City : SPOKANE
State : WA
Zip : 99201-5029
Country : US
Telephone Number : 509-325-7232
Fax Number : 509-325-4580
Authorized Official
Title or Position : VICE PRESIDENT, TREATMENT & REENTRY
Name : MR. STEVE WOOLWORTH
Credential :
Telephone Number : 206-766-7018
Provider Enumeration Date : 09/09/2015
Last Update Date : 10/10/2018

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Directions to “PIONEER HUMAN SERVICES ” Practice Location

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