| Catholic Community Services Of Western Washington | |
|
10604 Ne Highway 99 Vancouver WA 98686-5613 | |
| (360) 690-6638 | |
| Not Available |
| Full Name | Catholic Community Services Of Western Washington |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10604 Ne Highway 99, Vancouver, Washington |
| Authorized Official Name and Position | Stephanie M. Thelen (DIRECTOR OF QUALITY & POLICY) |
| Authorized Official Contact | 2537613898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Community Services Of Western Washington 10604 Ne Highway 99 Vancouver WA 98686-5613 Ph: () - | Catholic Community Services Of Western Washington 10604 Ne Highway 99 Vancouver WA 98686-5613 Ph: (360) 690-6638 |
| NPI Number | 1770231763 |
|---|---|
| Provider Enumeration Date | 03/17/2022 |
| Last Update Date | 03/17/2022 |
| Certification Date | 03/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770231763 | NPI | - | NPPES |
| 2002237 | Medicaid | WA |
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