CONQUER ADDICTION PLLC NPI 1689494262

NPI Information

  • NPI: 1689494262
  • Provider Name: CONQUER ADDICTION PLLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • CLIA Number: 50D2318873
  • Address: 809 W MAIN ST STE C
    MONROE, WA
    ZIP 98272
  • Phone: (206) 552-0882

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NPI Details

CONQUER ADDICTION PLLC is an adult mental health clinic center in Monroe, WA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. CONQUER ADDICTION PLLC NPI is 1689494262. The provider is registered as an organization entity type.

The provider's business location address is:

809 W MAIN ST STE C
MONROE, WA
ZIP 98272-172
Phone: (206) 552-0882
Fax: (844) 440-2147

The provider's authorized official is Jacob Adam Grillo .
The authorized official title is Owner and has the following contact phone number (206) 552-0882.

The CLIA number assigned to this NPI record is 50D2318873 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/16/2024 and was last updated on 10/16/2024.

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
1251B00000XCase ManagementNo
2261Q00000XClinic/CenterNo
3261QM0850XClinic/CenterAdult Mental HealthYes
4261QM0855XClinic/CenterAdolescent and Children Mental HealthNo

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: 11/21/2025

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