Healthcare Provider Details

I. General information

NPI: 1316563299
Provider Name (Legal Business Name): TEAM VOCATIONAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2020
Last Update Date: 07/08/2020
Certification Date: 07/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5608 17TH AVE NW STE 596
SEATTLE WA
98107-5232
US

IV. Provider business mailing address

5608 17TH AVE NW STE 596
SEATTLE WA
98107-5232
US

V. Phone/Fax

Practice location:
  • Phone: 206-569-0801
  • Fax: 206-801-1454
Mailing address:
  • Phone: 206-569-0801
  • Fax: 206-801-1454

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARNEY MASON
Title or Position: VOCATIONAL REHABILITATION COUNSELOR
Credential:
Phone: 206-569-0801