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Organization
UWNWH MEDICAL GROUP TR
Active
Organization
UWNWH MEDICAL GROUP TR
Active
Other names
UWNWH Medical Group Trust; UW Medicine Northwest
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE FERGUSON (VP CFO)
(206) 368-2772
Entity
Organization
Contact information
Practice address
1550 N 115TH ST, SUITE B 276, SEATTLE, WA 98133-8401
(206) 368-1758
Mailing address
1550 N 115TH ST, SUITE B 276, SEATTLE, WA 98133-8401
(206) 368-1758
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/19/2012
Last updated
01/26/2012
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