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NPI Code Detail

MEDICARE: HANDWORKS NORTHWEST PLLC

MEDICARE: HANDWORKS NORTHWEST PLLC
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
1225XH1200XHand Occupational Therapist

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2DC9718OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1168303OTHERWADEPT OF LABOR & INDUSTRIE
35960HAOTHERREGENCE

General Provider Information

NPI Number : 1194817007
Entity Type Code : Organization
Provider Name (Legal Business Name) : HANDWORKS NORTHWEST PLLC
Provider Business Mailing Address
First Line : 706 GEORGE WASHINGTON WAY
Second Line :
City : RICHLAND
State : WA
Zip : 99352-4211
Country : US
Telephone Number : 509-946-9200
Fax Number : 509-943-0649
Provider Business Practice Location Address
First Line : 706 GEORGE WASHINGTON WAY
Second Line :
City : RICHLAND
State : WA
Zip : 99352-4211
Country : US
Telephone Number : 509-946-9200
Fax Number : 509-943-0649
Authorized Official
Title or Position : OFFICE MANAGER
Name : JIM GILLETT
Credential :
Telephone Number : 509-946-9200
Provider Enumeration Date : 09/28/2006
Last Update Date : 02/29/2008

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Directions to “HANDWORKS NORTHWEST PLLC ” Practice Location

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