Provider Demographics
NPI:1447298823
Name:PARKWAY THERAPIES, L.L.C.
Entity type:Organization
Organization Name:PARKWAY THERAPIES, L.L.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:O
Authorized Official - Last Name:COWAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-604-4202
Mailing Address - Street 1:4601 NE 77TH AVE
Mailing Address - Street 2:SUITE 380
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98662-6729
Mailing Address - Country:US
Mailing Address - Phone:360-514-9271
Mailing Address - Fax:360-397-0777
Practice Address - Street 1:4601 NE 77TH AVE
Practice Address - Street 2:SUITE 380
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-6729
Practice Address - Country:US
Practice Address - Phone:360-514-9271
Practice Address - Fax:360-397-0777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty