Provider Demographics
NPI:1447442694
Name:GRAYS HARBOR COUNTY TREASURER
Entity type:Organization
Organization Name:GRAYS HARBOR COUNTY TREASURER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DEPUTY DIRECTOR/CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:
Authorized Official - Last Name:MACHOWEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-532-8631
Mailing Address - Street 1:21 COURTNEY LN
Mailing Address - Street 2:
Mailing Address - City:MONTESANO
Mailing Address - State:WA
Mailing Address - Zip Code:98563-9660
Mailing Address - Country:US
Mailing Address - Phone:360-249-2577
Mailing Address - Fax:
Practice Address - Street 1:2109 SUMNER AVE
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:WA
Practice Address - Zip Code:98520-3600
Practice Address - Country:US
Practice Address - Phone:360-532-8631
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-13
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL715854251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8351082Medicaid