Healthcare Provider Details

I. General information

NPI: 1558206425
Provider Name (Legal Business Name): COMMONSPIRIT WASHINGTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1455 BATTERSBY AVE
ENUMCLAW WA
98022-3634
US

IV. Provider business mailing address

PO BOX 31001
PASADENA CA
91110-1475
US

V. Phone/Fax

Practice location:
  • Phone: 888-846-7304
  • Fax: 253-573-7059
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number StateNULL

VIII. Authorized Official

Name: JULIE MANAS
Title or Position: PRESIDENT
Credential:
Phone: 253-680-4000