OrganizationActive
Encopresis Treatment Center
NPI 1306111562 · Health Service Clinic/Center · Edmonds, WA
Provider details
- NPI number
- 1306111562
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Winifred Waterbury, Office Manager(206) 629-4699
- License
- 602025306 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
611 Main St
Suite a
Edmonds, WA 98020-3096
Phone: (425) 640-3227
Fax: (425) 640-3478
Approximate (ZIP-level) locationGet directions
Mailing address
1824 N. 203rd Street
Shoreline, WA 98133
Registry dates
- Enumerated
- 2012-03-20
- Last updated
- 2021-05-10
- Certified
- 2021-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.