Healthcare Provider Details

I. General information

NPI: 1447464920
Provider Name (Legal Business Name): SOUTH EASTERN WASHINGTON SERVICE CENTER OF THE DEAF AND HARD OF HEARIN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 N 5TH AVE
PASCO WA
99301-5512
US

IV. Provider business mailing address

124 N 5TH AVE
PASCO WA
99301-5512
US

V. Phone/Fax

Practice location:
  • Phone: 509-543-9644
  • Fax: 509-543-3329
Mailing address:
  • Phone: 509-543-9644
  • Fax: 509-543-3329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number State

VIII. Authorized Official

Name: MRS. DEBRA KAHN
Title or Position: INTERM DIRECTOR
Credential:
Phone: 509-543-9644