Provider Demographics
NPI:1770443616
Name:PNW TRANSITION ALLIANCE
Entity type:Organization
Organization Name:PNW TRANSITION ALLIANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUDSON
Authorized Official - Suffix:
Authorized Official - Credentials:MHA
Authorized Official - Phone:425-243-9452
Mailing Address - Street 1:PO BOX 28752
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-8752
Mailing Address - Country:US
Mailing Address - Phone:425-243-9452
Mailing Address - Fax:206-508-0840
Practice Address - Street 1:19420 143RD PL SE
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98058-9440
Practice Address - Country:US
Practice Address - Phone:425-243-9452
Practice Address - Fax:206-508-0840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-13
Last Update Date:2025-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management