Healthcare Provider Details

I. General information

NPI: 1780217521
Provider Name (Legal Business Name): NORTHWEST CENTER SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2020
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 S 144TH ST
SEATAC WA
98168-3702
US

IV. Provider business mailing address

7272 W MARGINAL WAY S
SEATTLE WA
98108-4140
US

V. Phone/Fax

Practice location:
  • Phone: 206-378-6345
  • Fax:
Mailing address:
  • Phone: 206-378-6345
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: LORI DOLAN
Title or Position: CONTROLLER
Credential:
Phone: 206-285-9140