Healthcare Provider Details

I. General information

NPI: 1295310860
Provider Name (Legal Business Name): MUSIC CENTER OF THE NORTHWEST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2021
Last Update Date: 03/15/2021
Certification Date: 03/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 N 96TH ST
SEATTLE WA
98103-3207
US

IV. Provider business mailing address

PO BOX 30757
SEATTLE WA
98113-0757
US

V. Phone/Fax

Practice location:
  • Phone: 206-526-8443
  • Fax:
Mailing address:
  • Phone: 206-526-8443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name: CHAS ARNOLD
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 206-526-8443