Quinault Ave LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

QUINAULT AVE LLC

Practice address

6700 Fort Dent Way Ste 200
Tukwila, WA 98188-2504

Phone

(425) 525-1000

NPI assigned

Mar 8, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christian Monet

Title

Administrator

Phone

(509) 374-3880

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Max Jepson, O.D.

  • Optometrist
  • Scottsdale, AZ
  • NPI 1740587633
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1457946758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 FORT DENT WAY STE 200",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 FORT DENT WAY STE 200",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882504",
            "telephone_number": "425-525-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8011 W Quinault Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993361033",
            "country_code": "US",
            "telephone_number": "509-374-3880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12204 SE Mill Plain Blvd",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986846025",
            "country_code": "US",
            "telephone_number": "360-635-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21803 N Scottsdale Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852557444",
            "country_code": "US",
            "telephone_number": "623-323-2015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "QUINAULT AVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "MONET",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "509-374-3880"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peyton Pruett
• Puget Sound Pain Clinic PS
• Michaella Pulido
• Alexandria Puopolo
• Sophia Quimio, OD
• Christian Isaac Quintanar
• Quintessential Counseling & Consultation (Same As Above)
• Keana Quitlong
• Crystal Quiton
• Muniza Abdulla Qureshi

• Ambulatory Surgical Clinic/Center in Tukwila, WA
• Providers in Tukwila, WA by specialty
• Ambulatory Surgical Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.