Healthcare Provider Details

I. General information

NPI: 1295690485
Provider Name (Legal Business Name): SUNRISE SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 MADISON ST
EVERETT WA
98203-4543
US

IV. Provider business mailing address

3512 204TH ST SW APT H205
LYNNWOOD WA
98036-6889
US

V. Phone/Fax

Practice location:
  • Phone: 425-493-5831
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: MASTEWAL MENGESHA
Title or Position: INDIVIDUAL PROVIDER
Credential:
Phone: 425-534-3578