1326763988 NPI number — DANIEL OLUWATOYIN ADELOWO RN

Table of content: DANIEL OLUWATOYIN ADELOWO RN (NPI 1326763988)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326763988 NPI number — DANIEL OLUWATOYIN ADELOWO RN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ADELOWO
Provider First Name:
DANIEL
Provider Middle Name:
OLUWATOYIN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RN
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
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:
1326763988
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/06/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3718 78TH AVENUE CT W APT P203
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
UNIVERSITY PLACE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98466-3269
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
253-883-7464
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
MULTICARE AUBURN MEDICAL CENTER
Provider Second Line Business Practice Location Address:
202 NORTH DIVISION STREET PLAZA ONE
Provider Business Practice Location Address City Name:
AUBURN
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-545-2813
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/06/2022

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163W00000X , with the licence number:  60849171 , 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)