Healthcare Provider Details

I. General information

NPI: 1568189561
Provider Name (Legal Business Name): KING COUNTY REGIONAL HOMELESSNESS AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2022
Last Update Date: 09/15/2023
Certification Date: 09/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 YESLER WAY STE 600
SEATTLE WA
98104-2683
US

IV. Provider business mailing address

400 YESLER WAY STE 600
SEATTLE WA
98104-2683
US

V. Phone/Fax

Practice location:
  • Phone: 206-771-1638
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateNULL

VIII. Authorized Official

Name: ELIZABETH LAZAR
Title or Position: DEPUTY CHIEF PROGRAM OFFICER
Credential: MSW
Phone: 206-795-4022