1265701965 NPI number — NORTHWEST PHYSICAL MEDICINE PS

Table of content: (NPI 1265701965)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265701965 NPI number — NORTHWEST PHYSICAL MEDICINE PS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTHWEST PHYSICAL MEDICINE PS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
BELLEVUE WELLNESS
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1265701965
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/30/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10655 NE 4TH ST
Provider Second Line Business Mailing Address:
SUITE 101
Provider Business Mailing Address City Name:
BELLEVUE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98004-5035
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
425-455-2225
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10655 NE 4TH ST
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
BELLEVUE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98004-5035
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-455-2225
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/26/2011

Additional Information

Authorized Official

Authorized Official Last Name:
KOONER
Authorized Official First Name:
RAYMON
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
425-455-2225

Provider Taxonomy Codes

  • Taxonomy code: 2081P2900X , with the licence number:  MD00044383 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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