Provider Demographics
NPI:1487722880
Name:VALLEY OCCUPATIONAL HEALTH SERVICES
Entity type:Organization
Organization Name:VALLEY OCCUPATIONAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VICE PRESIDENT, FINANCE/CFO
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-656-5536
Mailing Address - Street 1:3600 LIND AVE SW
Mailing Address - Street 2:STE 170
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-4934
Mailing Address - Country:US
Mailing Address - Phone:425-656-4282
Mailing Address - Fax:425-656-5419
Practice Address - Street 1:3600 LIND AVE SW
Practice Address - Street 2:STE 170
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-4934
Practice Address - Country:US
Practice Address - Phone:425-656-4282
Practice Address - Fax:425-656-5419
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-12-01
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAH-1552083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Single Specialty