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General NPI Number Information
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NPI Number | 1942120977
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Entity Type | Organization
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Legal Business Name | COLLABORATIVE CARE &WELLNESS
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 4301 SOUTH MERIDIAN AVENUE SUITE C
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City | PUYALLUP
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State | WA
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Zip | 98373
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Country | US
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Telephone | 253-663-6683
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Fax | 253-289-7712
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Provider Business Mailing Address
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Address Line | 522 W RIVERSIDE AVE STE N
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City | SPOKANE
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State | WA
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Zip | 99201-0581
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Country | US
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Telephone | 253-663-6683
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Fax | 253-289-7712
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Authorized Official
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Title or Position | OWNER
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Name | DR. JILLIAN TRECIA EDWARDS
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Credential | ARNP
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Telephone | 253-222-2488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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