NORTHWEST RESOURCES II (NPI# 1427488113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427488113 |
| Entity Type | Organization |
| Organization Name | NORTHWEST RESOURCES II |
| Practice Address |
3773-a Martin Way E, Ste 105 Olympia WA 98506 |
| Mailing Address |
2708 Westmoor Ct Sw Olympia WA 98502-5754 |
| Practice Telephone | 3606887312 |
| Practice Fax Number | 3606887318 |
| Mailing Telephone | 3609438810 |
| Mailing Fax Number | 3609430931 |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2020-07-30 |
| Authorized Official Name | DENNIS R NEAL (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 3609438810 |
| Authorized Official Credential | CDP, C.AD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | REGENCE BLUE SHIELD | N06671 | 01 |
| WA | 2041727 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770647778 | Northwest Resources II | Nurse Practitioner | 325 S 3rd Street, Shelton, WA 98584-1735 | 2006-12-21 |
| 1821524422 | Northwest Resources II | Counselor | 200 Lilly Rd Ne Ste C, Olympia, WA 98506-5080 | 2017-05-03 |
| 1164586210 | Northwest Resources II | Nurse Practitioner | 2708 Westmoor Ct Sw, Olympia, WA 98502-5754 | 2006-12-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | NORTHWEST RESOURCES II, INC. | 2708 Westmoor Ct Sw, Olympia, WA 98502-5754 |
| Street Address |
3773-A MARTIN WAY E, STE 105 |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689291163 | Rachel E Freer | Counselor | 3222 Friendly Grove Rd Ne, Olympia, WA 98506-2940 | 2020-06-30 |
| 1144854332 | Lisa Lorraine Gaul | Counselor | 1905 4th Ave E Ste B, Olympia, WA 98506-4631 | 2020-02-26 |
| 1083244644 | Audrey Jane Bengtson | Counselor | 3773 Martin Way E Ste 107, Olympia, WA 98506-4400 | 2020-01-23 |
| 1396385357 | Cecilia Chavez | Counselor | 1820 Ashwood Downs Ln Se Apt 315, Olympia, WA 98501-7664 | 2020-01-08 |
| 1376055947 | Ashleigh L Clark | Counselor | 11702 Yelm Hwy Se, Olympia, WA 98513-9109 | 2017-11-03 |
| 1225567415 | Thierry Buckner | Counselor | 2400 Bristol Court Sw, Olympia, WA 98502 | 2017-06-09 |
| 1609301381 | Petya Pacheva | Counselor | 2401 Bristol Ct Sw Ste D101, Olympia, WA 98502-6037 | 2017-05-01 |
| 1215380787 | Alicia Rose | Counselor | 3773 Martin Way E Ste 105a, Olympia, WA 98506-5048 | 2016-07-19 |
| 1154770188 | Amelia Sohler | Counselor | 5326 80th Ave Sw, Olympia, WA 98512-2358 | 2016-06-09 |
| 1164870267 | Kelly Knittle | Counselor | 4820 She-nah-num Dr. Se, Olympia, WA 98520 | 2016-05-31 |
| Find all providers in OLYMPIA | ||||
Please comment or provide details below to improve the information on NORTHWEST RESOURCES II.
| 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.