Healthcare Provider Details

I. General information

NPI: 1326962903
Provider Name (Legal Business Name): OMEGA CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1712 6TH AVE STE 100
TACOMA WA
98405-3300
US

IV. Provider business mailing address

1712 6TH AVE STE 100
TACOMA WA
98405-3300
US

V. Phone/Fax

Practice location:
  • Phone: 425-319-3156
  • Fax:
Mailing address:
  • Phone: 425-319-3156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MIKABA SNOWDEN
Title or Position: OWNER
Credential: ARNP
Phone: 425-319-3156