Organization · NPI-2

Lake Cavanaugh Wellness

Clinic/Center · Mount Vernon, WA

NPI number1174483937
StatusActive
Last updated in NPPESNov 14, 2025

Details

NPI
1174483937
Entity type
Organization (NPI-2)
Legal business name
Lake Cavanaugh Wellness
Organization subpart
No
Enumeration date
Nov 14, 2025
Certification date
Nov 14, 2025
Last updated
Nov 14, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

35206 Phipps Dr
Mount Vernon, WA 98274-8223

Phone 360-224-3222

Mailing address

35206 Phipps Dr
Mount Vernon, WA 98274-8223

Phone 360-224-3222

Authorized official

Sarah Schulke
NP
3602243222

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