1942417969 NPI number — NORTHWEST NASAL SINUS CENTER

Table of content: (NPI 1942417969)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942417969 NPI number — NORTHWEST NASAL SINUS CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTHWEST NASAL SINUS CENTER
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:
NORTHWEST FACE
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:
1942417969
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10330 MERIDIAN AVE N
Provider Second Line Business Mailing Address:
SUITE 240
Provider Business Mailing Address City Name:
SEATTLE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98133-9441
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-525-2525
Provider Business Mailing Address Fax Number:
206-525-0801

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3100 CARILLON PT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KIRKLAND
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98033-7306
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-576-1700
Provider Business Practice Location Address Fax Number:
206-525-0801
Provider Enumeration Date:
05/17/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
DOWDY
Authorized Official First Name:
NEVA
Authorized Official Middle Name:
JEAN
Authorized Official Title or Position:
INSURANCE BILLER
Authorized Official Telephone Number:
206-525-2525

Provider Taxonomy Codes

  • Taxonomy code: 261QA1903X , 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)