| Northwest Resources Ii | |
|
2708 Westmoor Ct Sw Olympia WA 98502-5754 | |
| (360) 943-8810 | |
| (360) 943-0931 |
| Full Name | Northwest Resources Ii |
|---|---|
| Speciality | Counselor |
| Location | 2708 Westmoor Ct Sw, Olympia, Washington |
| Authorized Official Name and Position | Dennis Richard Neal (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3609438810 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Resources Ii 2708 Westmoor Ct Sw Olympia WA 98502-5754 Ph: (360) 943-8810 | Northwest Resources Ii 2708 Westmoor Ct Sw Olympia WA 98502-5754 Ph: (360) 943-8810 |
| NPI Number | 1164586210 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 03/03/2021 |
| Certification Date | 03/03/2021 |
| Medicare PECOS PAC ID | 3678842788 |
|---|---|
| Medicare Enrollment ID | O20170705003079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164586210 | NPI | - | NPPES |
| 2001305 | Medicaid | WA | |
| N06671 | Other | WA | REGENCE BLUE SHIELD |
| Provider Name | Debra S Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619289485 PECOS PAC ID: 3779779038 Enrollment ID: I20101129000473 |
| Provider Name | Elizabeth M Forman Serdar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629325204 PECOS PAC ID: 5799937496 Enrollment ID: I20130213000589 |
| Provider Name | Laura B Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487772364 PECOS PAC ID: 0749427581 Enrollment ID: I20150209000358 |
| Provider Name | Virginia K Cailleteau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952642084 PECOS PAC ID: 0345487641 Enrollment ID: I20190711001326 |
| Provider Name | Sheila Steinbrenner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124672126 PECOS PAC ID: 5698109965 Enrollment ID: I20191218002948 |
| Provider Name | Shicara Bushay Irvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144782095 PECOS PAC ID: 6901131192 Enrollment ID: I20200610001651 |
| Provider Name | Samantha Renee Marie Reese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639765316 PECOS PAC ID: 0547677502 Enrollment ID: I20210318002860 |
| Provider Name | James R Mclemore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831734599 PECOS PAC ID: 6709285232 Enrollment ID: I20210602003262 |
| Provider Name | Kristen M Kicinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356041032 PECOS PAC ID: 1456794858 Enrollment ID: I20240226003791 |
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