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1134114283

NPI Code Detail

MEDICARE: SHERWOOD COMMUNITY SERVICES

MEDICARE: SHERWOOD COMMUNITY SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist
2	225XP0200X	Pediatric Occupational Therapist
3	235Z00000X	Speech-Language Pathologist
4	251S00000X	Community/Behavioral Health Agency
5	252Y00000X	Early Intervention Provider Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134114283
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHERWOOD COMMUNITY SERVICES

Provider Business Mailing Address
First Line	:	402 91ST AVE NE
Second Line	:
City	:	LAKE STEVENS
State	:	WA
Zip	:	98258-2530
Country	:	US
Telephone Number	:	425-334-4071
Fax Number	:	425-335-1894

Provider Business Practice Location Address
First Line	:	402 91ST AVE NE
Second Line	:
City	:	LAKE STEVENS
State	:	WA
Zip	:	98258-2530
Country	:	US
Telephone Number	:	425-334-4071
Fax Number	:	425-335-1894

Authorized Official
Title or Position	:	BILLING ADMINISTRATOR
Name	:	MR. JULIE ADAMS
Credential	:
Telephone Number	:	425-404-3107

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	11/10/2021

Similar Medicare Providers

1699940130 — CHARLEEN A KELLY MA, CCCSLP, PHD
Practice Location Address:

402 91ST AVE NE
LAKE STEVENS, WA
98258-2530

Practice Phone: 425-334-4071
Practice Fax:

1215298112 — LESLIE JOY MCMANUS SLP
Practice Location Address:

402 91ST AVE NE
LAKE STEVENS, WA
98258-2530

Practice Phone: 425-334-4071
Practice Fax: 425-335-1894

1124406558 — JENECA LEA THOMAS DPT
Practice Location Address:

402 91ST AVE NE
LAKE STEVENS, WA
98258-2530

Practice Phone: 425-261-9827
Practice Fax:

1891226916 — MRS. RAYME ROGGE SPRINGER OTR/L
Practice Location Address:

402 91ST AVE NE
LAKE STEVENS, WA
98258-2530

Practice Phone: 360-363-4234
Practice Fax:

1497239883 — MRS. STEPHANIE RAE PERRIGO CCC-SLP
Practice Location Address:

402 91ST AVE NE
LAKE STEVENS, WA
98258-2530

Practice Phone: 425-334-4071
Practice Fax:

1801438825 — KIMBERLY ANN BALANSAY SLP
Practice Location Address:

402 91ST AVE NE
LAKE STEVENS, WA
98258-2530

Practice Phone: 425-404-3107
Practice Fax: 425-335-1894

Directions to “SHERWOOD COMMUNITY SERVICES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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