| Colossal, Llc | |
|
30124 53rd Ave S Auburn WA 98001-2303 | |
| (206) 636-7206 | |
| Not Available |
| Full Name | Colossal, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 30124 53rd Ave S, Auburn, Washington |
| Authorized Official Name and Position | Suhaib A Ali (OWNER) |
| Authorized Official Contact | 2066367206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colossal, Llc 30124 53rd Ave S Auburn WA 98001-2303 Ph: (206) 636-7206 | Colossal, Llc 30124 53rd Ave S Auburn WA 98001-2303 Ph: (206) 636-7206 |
| NPI Number | 1992660682 |
|---|---|
| Provider Enumeration Date | 12/16/2025 |
| Last Update Date | 12/16/2025 |
| Certification Date | 12/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992660682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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