| Northwest Relationships | |
|
5702 N 26th St Ste B Tacoma WA 98407-2406 | |
| (253) 292-1216 | |
| (253) 265-4950 |
| Full Name | Northwest Relationships |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 5702 N 26th St Ste B, Tacoma, Washington |
| Authorized Official Name and Position | Jennifer Sampson (OWNER) |
| Authorized Official Contact | 2532921216 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Relationships 5702 N 26th St Ste B Tacoma WA 98407-2406 Ph: (253) 292-1216 | Northwest Relationships 5702 N 26th St Ste B Tacoma WA 98407-2406 Ph: (253) 292-1216 |
| NPI Number | 1063840791 |
|---|---|
| Provider Enumeration Date | 10/15/2013 |
| Last Update Date | 09/17/2024 |
| Certification Date | 09/17/2024 |
| Medicare PECOS PAC ID | 6305060948 |
|---|---|
| Medicare Enrollment ID | O20140620001978 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063840791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 603337603 (Washington) | Primary |
| Provider Name | Jennifer Maria Sampson-susag |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639385578 PECOS PAC ID: 7012131667 Enrollment ID: I20240611003957 |
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