# UWNWH MEDICAL GROUP TR

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UWNWH Medical Group Trust; UW Medicine Northwest
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215208442
- **Authorized official:** BRUCE FERGUSON (VP CFO)
- **Authorized official phone:** (206) 368-2772

## Contact information

- **Practice address:** 1550 N 115TH ST, SUITE B 276, SEATTLE, WA 98133-8401
- **Practice address phone:** (206) 368-1758
- **Mailing address:** 1550 N 115TH ST, SUITE B 276, SEATTLE, WA 98133-8401
- **Mailing address phone:** (206) 368-1758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/19/2012
- **Last updated:** 01/26/2012