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KODIAK HEALTHCARE
NPI 1245027309
Nurse Practitioner - Psychiatric/Mental Health in Millwood, WA

Active since April 22, 2025
8923 E EUCLID AVE, MILLWOOD, WA 99212(509) 496-3066 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kodiak Healthcare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KODIAK HEALTHCARE (NPI 1245027309), doing business as Kodiak Mental Health, is a healthcare organization registered as a psychiatric/mental health in Millwood, Washington and active in the NPI registry since April 2025. The organization lists Sarah Joy Manfred, Owner, as its authorized official.

NPPES Registry Identity

NPI1245027309
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameKODIAK HEALTHCARE
Location Address8923 E EUCLID AVEMillwood, WA 99212-2048
Mailing AddressPo Box 11742Spokane Valley, WA 99211-1742 · (509) 496-3066
Phone(509) 496-3066
Organization SubpartNo
Authorized OfficialSarah Joy ManfredOwner · (509) 496-3066
Enumeration DateApril 22, 2025
NPPES CertifiedApril 22, 2025
✔ NPI 1245027309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
8923 E EUCLID AVE, Millwood, WA 99212
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Other Names 1

Doing Business AsKodiak Mental Health

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kodiak Healthcare's NPI number?

The NPI number for Kodiak Healthcare is 1245027309. It was assigned to this organization in the NPPES registry on April 22, 2025. The provider is doing business as Kodiak Mental Health.

Where is Kodiak Healthcare located?

Kodiak Healthcare is located at 8923 E Euclid Ave, Millwood, WA 99212. The listed phone number is (509) 496-3066.

What is Kodiak Healthcare's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Kodiak Healthcare was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.