EASTSIDE THERAPEUTIC RESOURCE (NPI# 1033231410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033231410 |
| Entity Type | Organization |
| Organization Name | EASTSIDE THERAPEUTIC RESOURCE |
| Practice Address |
830 6th St S Kirkland WA 98033-6714 |
| Practice Telephone | 4254439551 |
| Practice Fax Number | 4258280691 |
| Mailing Telephone | 4254439551 |
| Mailing Fax Number | 4258280691 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SHAUNA KNUTSON (COORDINATOR) |
| Authorized Official Telephone | 4254439551 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744R1102X |
Specialist Specialization: Research Study |
Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | EASTSIDE THERAPEUTIC RESOURCE, INC. | 2918 Colby Ave Ste 101, Everett, WA 98201-4077 |
| Street Address |
830 6TH ST S |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98033-6714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689683583 | Donald E Rice | Psychiatry & Neurology | 830 6th St S, Kirkland, WA 98033-6714 | 2006-08-07 |
| 1699927558 | Mark James Kasper | Internal Medicine | 830 6th St S, Kirkland, WA 98033-6714 | 2008-10-22 |
| 1568584571 | James Alan Knutson | Psychologist | 830 6th St S, Kirkland, WA 98033-6714 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584826 | Raquel Maria Reyes | Interpreter | 11205 Ne 62nd St., Kirkland, WA 98033 | 2020-10-02 |
| 1588146468 | Lake Washington Family Chiropractic, Pllc | Chiropractor | 816 6th Street South, 816 6th Street South, Kirkland, WA 98033 | 2018-09-06 |
| 1316463557 | Tony Jia Ly | Pharmacist | 7224 120th Ave Ne, Kirkland, WA 98033 | 2017-08-18 |
| 1003356403 | Eden Home Health of King County, LLC | Home Health | 733 7th Avenue, Suite 110, Kirkland, WA 98033 | 2017-03-03 |
| 1184170763 | Kirkland Family Dentistry | Dentist | 1715 Market St #104, Kirkland, WA 98033 | 2016-09-01 |
| 1144688565 | Kamala Psychology and Yoga LLC | Psychologist | 603 4th Ave Ste 101, Kirkland, WA 98033 | 2016-01-30 |
| 1245695352 | Ron Massey | Massage Therapist | 11406 Ne 112th St, Kirkland, WA 98033 | 2015-12-17 |
| 1194106039 | John Pham | Internal Medicine | 9426 116th Ave Ne, Kirkland, WA 98033 | 2015-06-16 |
| 1992199970 | Garrison Patrick Wier | Ophthalmology | 625 4th Ave Ste 301, Kirkland, WA 98033 | 2015-03-26 |
| 1871993113 | Abigail Trajtenberg Loomis | Behavioral Analyst | 1003 7th Avenue, Kirkland, WA 98033 | 2014-08-22 |
| Find all providers in zip 98033 | ||||
| Taxonomy Code | 1744R1102X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Research Study |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609115641 | Richard Daifuku | Specialist | 9270 Se 36th Pl, Mercer Island, WA 98040 | 2013-02-12 |
| 1528270964 | Harold Sandler | Specialist | 241 Lovell Ave Sw, Bainbridge Island, WA 98110-2535 | 2007-05-06 |
| 1053429068 | Pulmonary and Research Associates | Specialist | 104 W 5th Ave # 400, Spokane, WA 99204-4880 | 2006-08-29 |
| 1558302125 | Timothy E Bruya | Specialist | 104 W 5th, #400 West, Spokane, WA 99204 | 2006-06-08 |
| 1972099745 | Michael Baylor | Specialist | 113 Cherry St, Seattle, WA 98104-2205 | 2018-07-05 |
| 1518474188 | Cory Michael Kelly | Specialist | 325 9th Ave, Seattle, WA 98104-2420 | 2018-01-04 |
| 1386911832 | Premier Clinical Research | Specialist | 104 W 5th Ave, 320w, Spokane, WA 99204-4880 | 2011-11-29 |
| 1831275155 | David Eustace Cummings | Specialist | 1660 S Columbian Way, Va Puget Sound Health Care System, S-111-endo, Seattle, WA 98108-1532 | 2006-10-29 |
Please comment or provide details below to improve the information on EASTSIDE THERAPEUTIC RESOURCE.
| 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.