NORTHWEST RESOURCES II (NPI# 1770647778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770647778 |
| Entity Type | Organization |
| Organization Name | NORTHWEST RESOURCES II |
| Practice Address |
325 S 3rd Street Shelton WA 98584-1735 |
| Mailing Address |
2708 Westmoor Ct Sw Olympia WA 98502-5754 |
| Practice Telephone | 3604260890 |
| Practice Fax Number | 3604264688 |
| Mailing Telephone | 3609438810 |
| Mailing Fax Number | 3609430931 |
| Enumeration Date | 2006-12-21 |
| 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 | Y |
| Parent Organization Name | NORTHWEST RESOURCES II, INC |
| 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 | 1055102 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427488113 | Northwest Resources II | Nurse Practitioner | 3773-a Martin Way E, Ste 105, Olympia, WA 98506 | 2013-11-18 |
| 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 |
325 S 3RD STREET |
| City | SHELTON |
| State | WA |
| Zip Code | 98584-1735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627478 | Ashley Maria Elena Armstrong | Counselor | 307 W Cota St Shelton, Shelton, WA 98584 | 2020-07-30 |
| 1962011015 | Perry Philemon Little IIi | Dentist | 503 N 4th St, Shelton, WA 98584 | 2020-07-24 |
| 1588215271 | Rebecca Lynn Adams | Counselor | 601 West Franklin St, Shelton, WA 98584 | 2019-09-24 |
| 1366939670 | Robbie Chandler | Social Worker | 807 West Pine, Shelton, WA 98584 | 2018-04-23 |
| 1831603075 | Fir Lane Health-shelton,llc | Skilled Nursing Facility | 2430 North 13th St, Shelton, WA 98584 | 2017-11-27 |
| 1306361738 | Christine Lee Woods | Counselor | 58150 E. 66th Road, Miami, OK 98584 | 2017-08-07 |
| 1174063051 | Claudette V. Selkridge | Counselor | 1620 N. Olympic Hwy, Shelton, WA 98584 | 2017-02-27 |
| 1003278755 | Edward Charles Herman | Social Worker | 50 Se Bluff Loop Rd., Shelton, WA 98584 | 2016-03-22 |
| 1023497310 | Darren Cuevas | Family Medicine | 939 Mountain View Dr Ste 100, Shelton, WA 98584 | 2015-05-20 |
| 1639572977 | Thomas Vincent Phung Duffy | Dentist | 717 W. Railroad Ave., Shelton, WA 98584 | 2014-10-01 |
| Find all providers in zip 98584 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841787710 | Amanda Porto | Counselor | 3737 N Shelton Springs Rd, Shelton, WA 98584-9105 | 2018-04-17 |
| 1184085987 | Tammy Kindle | Counselor | 1635 Jackson St, Shelton, WA 98584-3031 | 2016-03-08 |
| 1043682602 | Cornelia Morris | Counselor | 12 Crescent St, Shelton, CT 06484-4103 | 2015-10-22 |
| 1922230242 | Jennifer L Davenport | Counselor | 2120 Adams St, Shelton, WA 98584-2902 | 2009-08-20 |
| 1700020534 | June Obrien | Counselor | 81 Se Paulcyn Ln, Shelton, WA 98584-9378 | 2009-04-23 |
| 1083862197 | Jennifer Lynn Ryan | Counselor | 30 Controls Drive, Suite 10, Shelton, CT 06484-5434 | 2008-09-03 |
| 1396918116 | Karen Howell Shephard | Counselor | 443 W Insels Rd, Shelton, WA 98584-7819 | 2008-04-13 |
| 1528264561 | Skokomish Indian Nation | Counselor | N 561 Tribal Center Rd, Shelton, WA 98584 | 2007-06-26 |
| 1083789317 | Lorraine M Coakley | Counselor | 273 Sunwood Drive, Shelton, CT 06484 | 2006-11-21 |
| 1245846252 | Judalyn Evette Gill | Counselor | 506 W Franklin St, Shelton, WA 98584-3517 | 2020-09-16 |
| Find all providers in SHELTON | ||||
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.