GOOD SAMARITAN OUTREACH SERVICES (NPI# 1376683946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376683946 |
| Entity Type | Organization |
| Organization Name | GOOD SAMARITAN OUTREACH SERVICES |
| Other Organization Name | CHILDREN'S THERAPY UNIT |
| Practice Address |
402 15th Ave Se Puyallup WA 98372-3709 |
| Mailing Address |
325 E Pioneer Puyallup WA 98372-3265 |
| Practice Telephone | 2536975200 |
| Practice Fax Number | 2536978598 |
| Mailing Telephone | 2536978548 |
| Mailing Fax Number | 2536978598 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RONALD J LEWIS (VICE PRESIDENT) |
| Authorized Official Telephone | 2536978500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Children's Therapy Unit | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639100951 | Good Samaritan Outreach Services | Durable Medical Equipment & Medical Supplies | 10 E 31st St, Kearney, NE 68847-2926 | 2006-07-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | GOOD SAMARITAN OUTREACH SERVICES | 407 14th Ave Se, Puyallup, WA 98372 |
| Street Address |
402 15TH AVE SE |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98372-3709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831146430 | Donald Mott | Orthopaedic Surgery | 402 15th Ave Se, Puyallup, WA 98372-3709 | 2006-05-28 |
| 1871036004 | Andrew Anderson | Speech-Language Pathologist | 402 15th Ave Se, #100, Puyallup, WA 98372-3709 | 2016-11-20 |
| 1922554674 | Lindsay Herron | Speech-Language Pathologist | 402 15th Ave Se, Ste 100, Puyallup, WA 98372-3709 | 2016-08-31 |
| 1023462652 | Makenzie Dearborn | Occupational Therapist | 402 15th Ave Se, Puyallup, WA 98372-3709 | 2016-04-20 |
| 1053706408 | Sarah Anderson | Occupational Therapist | 402 15th Ave Se, Puyallup, WA 98372-3709 | 2015-04-02 |
| 1710258595 | Noelle Foreman | Occupational Therapy Assistant | 402 15th Ave Se, Puyallup, WA 98372-3709 | 2012-01-25 |
| 1164742102 | Andrea Schroeder | Physical Therapist | 402 15th Ave Se, Puyallup, WA 98372-3709 | 2010-06-01 |
| 1225274418 | Jamie Lynn Hagen | Speech-Language Pathologist | 402 15th Ave Se, Suite 100, Puyallup, WA 98372-3709 | 2008-12-18 |
| 1275785651 | Jessica Ashley Clark | Speech-Language Pathologist | 402 15th Ave Se, #100, Puyallup, WA 98372-3709 | 2008-10-16 |
| 1760644207 | Kristin Kae Perkins | Speech-Language Pathologist | 402 15th Ave Se, Suite 100, Puyallup, WA 98372-3709 | 2008-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
| 1447811419 | Serenity Counseling & Consulting, LLC | Marriage & Family Therapist | 102 23rd St Se, Unit B, Puyallup, WA 98372 | 2019-06-21 |
| 1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
| 1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
| 1104392109 | Megan Black | Occupational Therapist | 40 29th St Ne, Puyallup, WA 98372 | 2018-10-17 |
| 1063919470 | Myriah Shekinah Olakpe | Occupational Therapist | 516 Se 23rd Ave, Puyallup, WA 98372 | 2018-04-11 |
| 1902330202 | Tyler Girdler | Student in an Organized Health Care Education/Training Program | 1322 3rd Street Se Suite 240, Puyallup, WA 98372 | 2017-04-13 |
| 1770039471 | Mahalakshmi Hariharan | Pharmacist | 2117 28th St Se, Puyallup, WA 98372 | 2016-09-01 |
| 1801241112 | Nawazish Ali | Internal Medicine | 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 | 2016-04-25 |
| 1932567559 | Denice L. Voss | Physical Therapist | 400 29th St. Ne, Puyallup, WA 98372 | 2016-02-10 |
| Find all providers in zip 98372 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841550530 | Pacmed Clinics | Clinic/Center | 220 15th Ave Se, Puyallup, WA 98372-3797 | 2012-05-29 |
| 1144749656 | Natural Life Integrative Health | Clinic/Center | 102 23rd Ave Se, Puyallup, WA 98372-4501 | 2017-09-15 |
| 1508134792 | Concordia Star Medical LLC | Clinic/Center | 118 7th Ave Sw, Suite A, Puyallup, WA 98371-6803 | 2011-12-02 |
| 1477844454 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 1007 39th Ave Se, Puyallup, WA 98374-2192 | 2011-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326676818 | Nocd Washington PC | Clinic/Center | 2320 130th Ave Ne Ste 110, Bellevue, WA 98005-1752 | 2020-03-30 |
| 1922635887 | Cascade Nurse Practitioners | Clinic/Center | 5409 100th St Sw Unit 39800, Lakewood, WA 98496-0970 | 2020-03-23 |
| 1942735667 | The Evergreen At Northpoint | Clinic/Center | 2111 N Northgate Way Ste 101, Seattle, WA 98133-9018 | 2017-05-01 |
| 1174061543 | Antares Wellness Pllc | Clinic/Center | 9319 7th Ave S, Seattle, WA 98108-4604 | 2017-02-06 |
| 1962852038 | Northwest Pain Relief Centers, LLC | Clinic/Center | 503 W Fir St, Suite D, Sequim, WA 98382-3210 | 2016-06-20 |
| 1851741698 | Marconi Chiropractic and Wellness | Clinic/Center | 11207 Mccutcheon Rd, Bonney Lake, WA 98391-8103 | 2016-06-13 |
| 1356738694 | Northwest Pain Relief Centers LLC | Clinic/Center | 7424 Bridgeport Way W Ste 305, Lakewood, WA 98499-8135 | 2015-04-24 |
| 1306231170 | Objective Medical Assessments Corp | Clinic/Center | 401 2nd Ave S, #110, Seattle, WA 98104-3858 | 2015-03-30 |
| 1477946754 | Rose Urgent Care and Family Practice | Clinic/Center | 650 N Devine Rd Ste B, Vancouver, WA 98661-6979 | 2015-03-11 |
| 1336549609 | Ranger Group Pllc | Clinic/Center | 16150 Ne 85th St Ste 110, Redmond, WA 98052-3541 | 2014-08-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.