Healthcare Provider Details

I. General information

NPI: 1841087145
Provider Name (Legal Business Name): PIONEER HUMAN SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2025
Last Update Date: 04/22/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1302 W GARDNER AVE
SPOKANE WA
99201
US

IV. Provider business mailing address

7440 WEST MARGINAL WAY SOUTH
SEATTLE WA
98108
US

V. Phone/Fax

Practice location:
  • Phone: 509-503-6010
  • Fax:
Mailing address:
  • Phone: 206-766-1990
  • Fax: 206-768-8910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: NICHOLAS JOSEPH MOREAU
Title or Position: DIRECTOR OF COMPLIANCE & QUALITY
Credential:
Phone: 206-716-3638