PARADISE WOUND HEALING PROFESSIONALS, PLLC
NPI 1285750901
Specialist in Clarkston, WA

Q: What is Paradise Wound Healing Professionals, PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since March 22, 2007

1119 HIGHLAND AVENUE, SUITE 7, CLARKSTON, WA 99403(509) 758-1119(509) 758-1140 Get Directions Write a Review

NPPES record last updated: March 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Paradise Wound Healing Professionals, Pllc NPPES

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

PARADISE WOUND HEALING PROFESSIONALS, PLLC (NPI 1285750901) is a healthcare organization registered as a specialist in Clarkston, Washington and active in the NPI registry since March 2007. The organization lists Alex C Town, Cfo, as its authorized official.

NPPES Registry Identity

NPI1285750901

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NamePARADISE WOUND HEALING PROFESSIONALS, PLLC

Location Address1119 HIGHLAND AVENUE, SUITE 7Clarkston, WA 99403-2836

Mailing AddressPo Box 189Clarkston, WA 99403-0189 · (509) 758-1119 · Fax (509) 758-1140

Phone(509) 758-1119

Fax(509) 758-1140

Organization SubpartNo

Authorized OfficialAlex C TownCfo · (509) 758-4667

Enumeration DateMarch 22, 2007

Last NPPES UpdateMarch 20, 2012

✔ NPI 1285750901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in WA · 602411261

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1119 HIGHLAND AVENUE, Clarkston, WA 99403

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Other Identifiers 3

Medicare PIN1377714ID

Medicare PIN8808417WA

OtherDJVB5Blue Cross Of Idaho

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 Paradise Wound Healing Professionals, PLLC's NPI number?

The NPI number for Paradise Wound Healing Professionals, PLLC is 1285750901. It was assigned to this organization in the NPPES registry on March 22, 2007.

Where is Paradise Wound Healing Professionals, PLLC located?

Paradise Wound Healing Professionals, PLLC is located at 1119 Highland Avenue Suite 7, Clarkston, WA 99403. The listed phone number is (509) 758-1119.

What is Paradise Wound Healing Professionals, PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Paradise Wound Healing Professionals, PLLC was last updated on March 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.