1871915587 NPI number — PARAMOUNT TREATMENT OPTIONS

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 1871915587 NPI number — PARAMOUNT TREATMENT OPTIONS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PARAMOUNT TREATMENT OPTIONS
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:
1871915587
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/15/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9119 RIDGETOP BLVD
Provider Second Line Business Mailing Address:
SUITE 206
Provider Business Mailing Address City Name:
SILVERDALE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98383
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-551-4555
Provider Business Mailing Address Fax Number:
360-850-0286

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9119 RIDGETOP BLVD
Provider Second Line Business Practice Location Address:
SUITE 206
Provider Business Practice Location Address City Name:
SILVERDALE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98383
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-551-4555
Provider Business Practice Location Address Fax Number:
360-850-0286
Provider Enumeration Date:
01/15/2014

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
KHAN
Authorized Official First Name:
ASIF
Authorized Official Middle Name:
RASHID
Authorized Official Title or Position:
CEO/PRESIDENT
Authorized Official Telephone Number:
253-200-0415

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RI0200X , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RA0401X , 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)