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NPI Code Detail

MEDICARE: ASHLEY HOUSE

MEDICARE: ASHLEY HOUSE
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
13140N1450XPediatric Skilled Nursing Facility

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 : 1710562608
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASHLEY HOUSE
Provider Business Mailing Address
First Line : 33811 9TH AVE S
Second Line :
City : FEDERAL WAY
State : WA
Zip : 98003-6707
Country : US
Telephone Number : 253-533-9050
Fax Number : 253-517-7706
Provider Business Practice Location Address
First Line : 4118 S COOK ST
Second Line :
City : SPOKANE
State : WA
Zip : 99223-4425
Country : US
Telephone Number : 253-533-9050
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : JASON OWENS
Credential :
Telephone Number : 253-533-9050
Provider Enumeration Date : 03/12/2021
Last Update Date : 02/18/2026

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Directions to “ASHLEY HOUSE ” Practice Location

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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.