1679504526 NPI number — NORTHWEST ASTHMA & ALLERGY CENTER

Table of content: (NPI 1679504526)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679504526 NPI number — NORTHWEST ASTHMA & ALLERGY CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTHWEST ASTHMA & ALLERGY 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:
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:
1679504526
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/24/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9725 3RD AVE NE
Provider Second Line Business Mailing Address:
#500
Provider Business Mailing Address City Name:
SEATTLE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98115-2060
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-527-1200
Provider Business Mailing Address Fax Number:
206-527-2514

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9725 3RD AVE NE
Provider Second Line Business Practice Location Address:
#500
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98115-2060
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-527-1200
Provider Business Practice Location Address Fax Number:
206-527-2514
Provider Enumeration Date:
07/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
FIRTH
Authorized Official First Name:
KATHLEEN
Authorized Official Middle Name:
Authorized Official Title or Position:
PATIENT ACCOUNTS MANAGER
Authorized Official Telephone Number:
206-527-1200

Provider Taxonomy Codes

  • Taxonomy code: 207K00000X , 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)

  • Identifier: CP7653 . This is a "RAIL ROAD MEDICARE" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: NO3779 . This is a "REGENCE" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 7701808 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".




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