# NORTHWEST KIDNEY CENTERS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTHWEST KIDNEY CENTERS
- **Other names:** NORTHWEST KIDNEY CENTER PHARMACY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578507919
- **Legal business name:** NORTHWEST KIDNEY CENTERS
- **Authorized official:** JENNIFER D. ESLAVA (CFO)
- **Authorized official phone:** (206) 720-8506

## Contact information

- **Practice address:** 12901 20TH AVE S, SEATAC, WA 98168-5159
- **Practice address phone:** (206) 343-4870
- **Practice address fax:** (206) 343-4884
- **Mailing address:** 12901 20TH AVE S STE 100, SEATAC, WA 98168-5159
- **Mailing address phone:** (206) 292-2771
- **Mailing address fax:** (206) 860-5821

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | CF00003625 | WA | — |
| 3336C0002X | Clinic Pharmacy | 20609MS | ID | Yes |

## Other

- **Enumeration date:** 06/16/2006
- **Last updated:** 10/14/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1044789 | — | WA |
| 01 | — | 2108628 | PK | — |
| 01 | — | PHAR.CF.70014609 | PHARMACY | WA |