# NORTHWEST PHYSICIAN ASSOCIATES PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275567919
- **Authorized official:** SHARON HARDY (DIRECTOR PROVIDER ENROLLMENT)
- **Authorized official phone:** (925) 251-6901

## Contact information

- **Practice address:** 330 S STILLAGUAMISH AVE, ARLINGTON, WA 98223-1642
- **Practice address phone:** (360) 435-2133
- **Practice address fax:** (253) 838-6418
- **Mailing address:** PO BOX 634596, CINCINNATI, OH 45263-4596
- **Mailing address phone:** (800) 562-2945
- **Mailing address fax:** (253) 838-6418

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 01/10/2020

## 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 |