Healthcare Provider Details

I. General information

NPI: 1124034699
Provider Name (Legal Business Name): NAVOS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 02/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 SW HOLDEN ST
SEATTLE WA
98126-3505
US

IV. Provider business mailing address

2600 SW HOLDEN ST
SEATTLE WA
98126-3505
US

V. Phone/Fax

Practice location:
  • Phone: 206-933-7214
  • Fax: 206-933-7005
Mailing address:
  • Phone: 206-933-7214
  • Fax: 206-933-7005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number StateWA

VIII. Authorized Official

Name: DR. DAVID M. JOHNSON
Title or Position: CEO
Credential: ED.D
Phone: 206-933-7225