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General NPI Number Information
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NPI Number | 1740355692
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Entity Type | Organization
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Legal Business Name | RECOVERY OPTIONS NORTHWEST, INC
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2150 N 107TH ST SUITE 200
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City | SEATTLE
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State | WA
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Zip | 98133-1305
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Country | US
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Telephone | 206-361-4707
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Fax | 206-365-0926
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Provider Business Mailing Address
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Address Line | 2150 N 107TH ST SUITE 200
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City | SEATTLE
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State | WA
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Zip | 98133-1305
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Country | US
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Telephone | 206-361-4707
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Fax | 206-365-0926
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. ROBERT E. DEUTSCH
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Credential | PH.D.
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Telephone | 206-361-4707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 17084300
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License Number State | WA
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