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Contact Information

EASTSIDE THERAPY SERVICES
317 NW GILMAN BLVD #50
ISSAQUAH, WA98027
 Phone: 425-459-5214
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for EASTSIDE THERAPY SERVICES

NPI Number 1750846861
LBN Legal business name EASTSIDE THERAPY SERVICES
Authorized official MICHAEL FOWLS - (BUSINESS MGR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/02/2019
Last updated 08/09/2022 - About 4 years ago
Identifiers
Other NONE NONE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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