1265306591 NPI number — ATTUNEMENT HEALTH AND WELLNESS, PLLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265306591 NPI number — ATTUNEMENT HEALTH AND WELLNESS, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ATTUNEMENT HEALTH AND WELLNESS, PLLC
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:
1265306591
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/30/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
115 AUTUMN HILLS RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KELSO
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98626-9018
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-749-1842
Provider Business Mailing Address Fax Number:
360-703-6483

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
880 11TH AVE STE 108
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LONGVIEW
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98632-2402
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-749-1842
Provider Business Practice Location Address Fax Number:
360-703-6483
Provider Enumeration Date:
09/30/2025

Additional Information

Authorized Official

Authorized Official Last Name:
HUMMEL
Authorized Official First Name:
CASSIE
Authorized Official Middle Name:
D
Authorized Official Title or Position:
FNP-BC
Authorized Official Telephone Number:
360-513-4203

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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