Provider Demographics
NPI:1285100495
Name:WESTCARE WASHINGTON, INC
Entity type:Organization
Organization Name:WESTCARE WASHINGTON, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAY
Authorized Official - Middle Name:
Authorized Official - Last Name:SWITZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-552-5077
Mailing Address - Street 1:PO BOX 1345
Mailing Address - Street 2:
Mailing Address - City:ORTING
Mailing Address - State:WA
Mailing Address - Zip Code:98360-1345
Mailing Address - Country:US
Mailing Address - Phone:360-872-0813
Mailing Address - Fax:
Practice Address - Street 1:1301 ORTING KAPOWSIN HWY E
Practice Address - Street 2:
Practice Address - City:ORTING
Practice Address - State:WA
Practice Address - Zip Code:98360-9550
Practice Address - Country:US
Practice Address - Phone:360-872-0878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-16
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder