Healthcare Provider Details

I. General information

NPI: 1699693622
Provider Name (Legal Business Name): CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1323 YAKIMA AVE
TACOMA WA
98405-4457
US

IV. Provider business mailing address

1323 YAKIMA AVE
TACOMA WA
98405-4457
US

V. Phone/Fax

Practice location:
  • Phone: 253-290-0178
  • Fax:
Mailing address:
  • Phone: 253-290-0178
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MOLLY QUINLAN
Title or Position: OPERATIONS ADMINISTRATOR
Credential:
Phone: 206-940-9640