SUNDEW INTEGRATED RECOVERY PLLC NPI 1033850474

NPI Information

NPI: 1033850474
Provider Name: SUNDEW INTEGRATED RECOVERY PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
5005 200TH ST SW STE 102
LYNNWOOD, WA
ZIP 98036
Phone: (425) 224-7188
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SUNDEW INTEGRATED RECOVERY PLLC is a primary care clinic center in Lynnwood, WA. SUNDEW INTEGRATED RECOVERY PLLC NPI is 1033850474. The provider is registered as an organization entity type.

The provider's business location address is:

5005 200TH ST SW STE 102
LYNNWOOD, WA
ZIP 98036-679
Phone: (425) 224-7188
Fax: (949) 250-6911

The provider's authorized official is Andrew Dzikowski .
The authorized official title is Medical Director and has the following contact phone number (201) 600-6817.

The enumeration date for this NPI number is 4/7/2022 and was last updated on 7/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	No
2	261QM2500X	Clinic/Center	Medical Specialty	No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
4	261QP2300X	Clinic/Center	Primary Care	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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