EASTSIDE RECOVERY GROUP NPI 1225558828

NPI Information

NPI: 1225558828
Provider Name: EASTSIDE RECOVERY GROUP
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 50D0717301

Address:
1715 114TH AVE SE STE 204
BELLEVUE, WA
ZIP 98004
Phone: (425) 454-0839
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EASTSIDE RECOVERY GROUP is a rehabilitation and substance use disorder clinic center in Bellevue, WA. EASTSIDE RECOVERY GROUP NPI is 1225558828. The provider is registered as an organization entity type.

The provider's business location address is:

1715 114TH AVE SE STE 204
BELLEVUE, WA
ZIP 98004-906
Phone: (425) 454-0839

The provider's authorized official is Jill Weinstein .
The authorized official title is Owner and has the following contact phone number (425) 454-0839.

The CLIA number assigned to this NPI record is 50D0717301 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/23/2017 and was last updated on 6/23/2017.

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	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	00-037201	WASHINGTON	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: 11/14/2023

NPI Synchronization or Removal

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