# UROLOGY NORTHWEST SURGERY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UROLOGY NORTHWEST, PS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1124467493
- **Legal business name:** UROLOGY NORTHWEST, PS
- **Authorized official:** CANDY S CHAPMAN (ADMINISTRATOR)
- **Authorized official phone:** (425) 275-5547

## Contact information

- **Practice address:** 6005 244TH ST SW, STE 111, MOUNTLAKE TERRACE, WA 98043-5400
- **Practice address phone:** (425) 275-5555
- **Practice address fax:** (425) 275-5590
- **Mailing address:** 6005 244TH ST SW, STE 111, MOUNTLAKE TERRACE, WA 98043-5400
- **Mailing address phone:** (425) 275-5555
- **Mailing address fax:** (425) 275-5590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/20/2013
- **Last updated:** 06/20/2013