# ASSOCIATION OF UNIVERSITY PHYSICIANS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** University of Washington Physicians
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003251042
- **Authorized official:** CATHERINE A BOELKE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (206) 616-1024

## Contact information

- **Practice address:** 23213 PACIFIC HWY S, UWNC KENT-DES MOINES CLINIC, KENT, WA 98032-2721
- **Practice address phone:** (206) 543-6420
- **Practice address fax:** (206) 520-5620
- **Mailing address:** PO BOX 50095, SEATTLE, WA 98145-5095
- **Mailing address phone:** (206) 543-6420
- **Mailing address fax:** (206) 520-5620

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | WA | — |
| 133V00000X | Registered Dietitian | — | WA | — |
| 207Q00000X | Family Medicine Physician | — | WA | Yes |
| 207R00000X | Internal Medicine Physician | — | WA | — |
| 208000000X | Pediatrics Physician | — | WA | — |
| 363L00000X | Nurse Practitioner | — | WA | — |

## Other

- **Enumeration date:** 05/03/2013
- **Last updated:** 02/12/2014