Healthcare Provider Details

I. General information

NPI: 1649102476
Provider Name (Legal Business Name): PIONEER HUMAN SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11900 BEACON AVE S
SEATTLE WA
98178-2811
US

IV. Provider business mailing address

11900 BEACON AVE S
SEATTLE WA
98178-2811
US

V. Phone/Fax

Practice location:
  • Phone: 206-772-6900
  • Fax: 206-772-6566
Mailing address:
  • Phone: 206-772-6900
  • Fax: 206-772-6566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: BRIAN KIPRUTO
Title or Position: HEALTH COORDINATOR
Credential:
Phone: 425-370-8238