1154714533 NPI number — RTS, INC.

Table of content: JANA LEE NEUFELD MSW (NPI 1669769105)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154714533 NPI number — RTS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RTS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1154714533
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/10/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12600 SE 38TH ST
Provider Second Line Business Mailing Address:
SUITE 130
Provider Business Mailing Address City Name:
BELLEVUE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98006-6105
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-459-2242
Provider Business Mailing Address Fax Number:
425-373-4035

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12600 SE 38TH ST
Provider Second Line Business Practice Location Address:
SUITE 130
Provider Business Practice Location Address City Name:
BELLEVUE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98006-6105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-459-2242
Provider Business Practice Location Address Fax Number:
425-373-4035
Provider Enumeration Date:
03/10/2015

Additional Information

Authorized Official

Authorized Official Last Name:
SIROTA
Authorized Official First Name:
RICHARD
Authorized Official Middle Name:
TOBIN
Authorized Official Title or Position:
TREATMENT DIRECTOR
Authorized Official Telephone Number:
206-459-2242

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  LW60223272 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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