Healthcare Provider Details

I. General information

NPI: 1962597823
Provider Name (Legal Business Name): COUNTY OF KING SCHOOL DIST 402
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 07/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18850 103RD AVE SW
VASHON WA
98070-5250
US

IV. Provider business mailing address

18850 103RD AVE SW
VASHON WA
98070-5250
US

V. Phone/Fax

Practice location:
  • Phone: 206-408-8100
  • Fax: 206-463-2121
Mailing address:
  • Phone: 206-408-8100
  • Fax: 206-463-2121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number StateWA

VIII. Authorized Official

Name: MS. CATHLEEN LAMBERT
Title or Position: DIRECTOR OF STUDENT SERVICES
Credential:
Phone: 206-408-8121