Provider Demographics
NPI:1548483738
Name:SUNRISE CENTERS
Entity type:Organization
Organization Name:SUNRISE CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:T
Authorized Official - Last Name:HILLYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-503-6703
Mailing Address - Street 1:12650 1ST AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98168-2617
Mailing Address - Country:US
Mailing Address - Phone:206-248-3006
Mailing Address - Fax:
Practice Address - Street 1:12650 1ST AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98168-2617
Practice Address - Country:US
Practice Address - Phone:206-248-3006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder