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Organization
NORTHWEST PHYSICIAN ASSOCIATES PC
Active
Organization
NORTHWEST PHYSICIAN ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON HARDY (DIRECTOR PROVIDER ENROLLMENT)
(925) 251-6901
Entity
Organization
Contact information
Practice address
330 S STILLAGUAMISH AVE, ARLINGTON, WA 98223-1642
(360) 435-2133
(253) 838-6418
Mailing address
PO BOX 634596, CINCINNATI, OH 45263-4596
(800) 562-2945
(253) 838-6418
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NULL
363A00000X
Physician Assistant
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112256800
—
WY
05
—
288344
—
OR
05
—
7100183
—
WA
05
—
7131352
—
WA
05
—
7135510
—
WA
05
—
7136047
—
WA
05
—
7200124
—
WA
Enumeration date
07/10/2006
Last updated
01/10/2020
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