CHS Northshore 103rd – Substance Use Disorder Rehabilitation Clinic/Center, NPI 1598103624

CHS Northshore 103rd is a healthcare provider. based in Shoreline, Washington. specializing in Substance Use Disorder Rehabilitation Clinic/Center. The organization holds a License No. 17153800 (WA). The NPI Number for CHS Northshore 103rd is 1598103624

Main info

Organization
Name
CHS Northshore 103rd
NPI
1598103624
Phone
(206) 362-7282
Address
17018 15TH AVE NE
Authorized Official
BERATTA GOMILLION EXECUTIVE DIRECTOR
Enumeration Date
11 June 2013
Last Update Date
14 June 2013
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness80
Years active:13State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for CHS Northshore 103rd

  • 17018 15TH AVE NE

    SHORELINE, WA 981555126

    Phone: (206) 362-7282

    Fax: (206) 362-7152

    Type: Mailing

  • 18414 103RD AVE NE

    BOTHELL, WA 980113410

    Phone: (206) 362-7282

    Fax: (206) 362-7152

    Type: Location

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

Source: CMS public data · Not endorsed by CMS ·

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

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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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

What federal number belongs to CHS Northshore 103rd?
The federal identifier for CHS Northshore 103rd is NPI 1598103624.
Is CHS Northshore 103rd's NPI currently valid?
The extract we use shows CHS Northshore 103rd as active.
What does CHS Northshore 103rd treat or focus on?
Patients typically see CHS Northshore 103rd under the specialty Substance Use Disorder Rehabilitation Clinic/Center. Clinical services aligned with this taxonomy classification.
Where is CHS Northshore 103rd's primary listing?
We display Shoreline, Washington because that is what the record indicates for CHS Northshore 103rd.
What if Shoreline, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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