CHS Shoreline 170th – Substance Use Disorder Rehabilitation Clinic/Center, NPI 1053498220

CHS Shoreline 170th is a healthcare provider. based in Shoreline, Washington. specializing in Substance Use Disorder Rehabilitation Clinic/Center. The organization holds a License No. 17015900 (WA). The NPI Number for CHS Shoreline 170th is 1053498220

Main info

Organization
Name
CHS Shoreline 170th
NPI
1053498220
Phone
(206) 362-7282
Address
17018 15TH AVE NE
Authorized Official
BERATTA GOMILLION EXECUTIVE DIRECTOR
Enumeration Date
1 November 2006
Last Update Date
17 September 2016
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness80
Years active:19State licenses:2Digital endpointsUpdated within 12 months

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Provider Addresses for CHS Shoreline 170th

  • 17018, 15th Avenue Northeast, North City, Ridgecrest, Shoreline, King County, Washington, 98155, United States

    SHORELINE, WA 981555126

    Phone: (206) 362-7282

    Fax: (206) 362-7152

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98155)

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Frequently asked questions

Can I cross-check CHS Shoreline 170th using NPI 1053498220?
NPI 1053498220 belongs to CHS Shoreline 170th; compare other details if you need extra assurance.
Would CHS Shoreline 170th appear as active to a payer?
You can treat CHS Shoreline 170th as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is CHS Shoreline 170th?
CHS Shoreline 170th is associated with Substance Use Disorder Rehabilitation Clinic/Center in the directory — Clinical services aligned with this taxonomy classification.
Where in Washington is CHS Shoreline 170th registered?
Use Shoreline, Washington as the headline location for CHS Shoreline 170th here.
Can I trust this NPI listing for CHS Shoreline 170th?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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