# 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:** 1548573538
- **Legal business name:** NORTHWEST ASTHMA & ALLERGY CENTER
- **Authorized official:** PATRICIA S. MATHIAS (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (206) 527-2577

## Contact information

- **Practice address:** 1740 NW MAPLE ST, SUITE 211, ISSAQUAH, WA 98027-8924
- **Practice address phone:** (425) 395-0175
- **Practice address fax:** (425) 395-0176
- **Mailing address:** 4540 SAND POINT WAY NE, SUITE 200, SEATTLE, WA 98105-3941
- **Mailing address phone:** (206) 527-2577
- **Mailing address fax:** (206) 527-2514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | 600176916 | WA | Yes |

## Other

- **Enumeration date:** 07/19/2010
- **Last updated:** 07/19/2010