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Organization
NORTHWEST ASTHMA & ALLERGY CENTER
Active
Organization
NORTHWEST ASTHMA & ALLERGY CENTER
Active
Parent organization
NORTHWEST ASTHMA & ALLERGY CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST ASTHMA & ALLERGY CENTER
Authorized official
PATRICIA S MATHIAS (CREDENTIALING COORDINATOR)
(206) 527-2577
Entity
Organization
Contact information
Practice address
1801 E DIVISION ST, MOUNT VERNON, WA 98274-4632
(360) 424-4410
Mailing address
4540 SAND POINT WAY NE, SUITE 200, SEATTLE, WA 98105-3941
(206) 527-1200
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
NULL
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
11/21/2006
Last updated
04/23/2010
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