# NORTHWEST ASTHMA & ALLERGY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTHWEST ASTHMA & ALLERGY CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1457565459
- **Legal business name:** NORTHWEST ASTHMA & ALLERGY CENTER
- **Authorized official:** PATRICIA S. MATHIAS (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (206) 527-2577

## Contact information

- **Practice address:** 1412 SW 43RD ST, SUITE 210, RENTON, WA 98055-4803
- **Practice address phone:** (425) 235-1716
- **Practice address fax:** (425) 277-5479
- **Mailing address:** 4540 SAND POINT WAY NE, SUITE 200, SEATTLE, WA 98105-3941
- **Mailing address phone:** (206) 527-1200
- **Mailing address fax:** (206) 523-0724

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | Yes |
| 207K00000X | Allergy & Immunology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/09/2007
- **Last updated:** 04/23/2010