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1346389053

NPI Code Detail

MEDICARE: ENCOMPASS NORTHWEST

MEDICARE: ENCOMPASS NORTHWEST

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		WA
2	225X00000X	Occupational Therapist		WA
3	235Z00000X	Speech-Language Pathologist		WA
4	261QD1600X	Developmental Disabilities Clinic/Center

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

General Provider Information

NPI Number	:	1346389053
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENCOMPASS NORTHWEST

Provider Business Mailing Address
First Line	:	9050 384TH AVE SE
Second Line	:
City	:	SNOQUALMIE
State	:	WA
Zip	:	98065-9637
Country	:	US
Telephone Number	:	425-888-3347
Fax Number	:	425-888-2010

Provider Business Practice Location Address
First Line	:	9050 384TH AVE SE
Second Line	:
City	:	SNOQUALMIE
State	:	WA
Zip	:	98065-9637
Country	:	US
Telephone Number	:	425-888-3347
Fax Number	:	425-888-3348

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MARIA NELLIE CUMMING
Credential	:
Telephone Number	:	425-888-3347

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	03/06/2023

Similar Medicare Providers

1023948049 — MR. JASON GRAM LSWAIC
Practice Location Address:

9050 384TH AVE SE
SNOQUALMIE, WA
98065-9637

Practice Phone: 425-888-3347
Practice Fax: 425-888-2010

1699872549 — MRS. JENNIFER LYNNE EHRNMAN MA, LMFTA
Practice Location Address:

9050 384TH AVE SE
SNOQUALMIE, WA
98065-9637

Practice Phone: 425-888-3347
Practice Fax: 425-888-3348

1710014329 — NANNETTE MARIE KRUEGER OTR
Practice Location Address:

9050 384TH AVE SE
SNOQUALMIE, WA
98065-9637

Practice Phone: 425-888-3347
Practice Fax: 425-888-3348

1417106618 — MRS. MELISHA ANNE BUDWORTH M.S. CCC-SLP
Practice Location Address:

9050 384TH AVE SE
SNOQUALMIE, WA
98065-9637

Practice Phone: 425-888-3347
Practice Fax: 425-999-3348

1942435938 — MELISSA MCDONALD OTR/L
Practice Location Address:

9050 384TH AVE SE
SNOQUALMIE, WA
98065-9637

Practice Phone: 425-888-3347
Practice Fax: 425-888-3348

1285987834 — KIMBRE LEIGH HALL MS, OTR/L
Practice Location Address:

9050 384TH AVE SE
SNOQUALMIE, WA
98065-9637

Practice Phone: 425-888-3347
Practice Fax: 425-888-3348

Directions to “ENCOMPASS NORTHWEST ” 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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