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NPI Code Detail

MEDICARE: OPPORTUNITIES INDUSTRIALIZATION CENTER OF WASHINGTON

MEDICARE: OPPORTUNITIES INDUSTRIALIZATION CENTER OF WASHINGTON
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
1314000000XSkilled Nursing Facility600514067WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326033986
Entity Type Code : Organization
Provider Name (Legal Business Name) : OPPORTUNITIES INDUSTRIALIZATION CENTER OF WASHINGTON
Provider Business Mailing Address
First Line : 2611 S DEARBORN ST
Second Line :
City : SEATTLE
State : WA
Zip : 98144-3013
Country : US
Telephone Number : 206-325-6700
Fax Number : 206-325-4088
Provider Business Practice Location Address
First Line : 2611 S DEARBORN ST
Second Line :
City : SEATTLE
State : WA
Zip : 98144-3013
Country : US
Telephone Number : 206-325-6700
Fax Number : 206-325-4088
Authorized Official
Title or Position : FINANCIAL MANAGER
Name : SHARON R DUNNING
Credential :
Telephone Number : 206-325-6700
Provider Enumeration Date : 09/20/2005
Last Update Date : 10/18/2012

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Directions to “OPPORTUNITIES INDUSTRIALIZATION CENTER OF WASHINGTON ” Practice Location

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