# NORTHWEST ENDOSCOPY CENTER, LLC

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

## Provider details

- **NPI number:** 1588765739
- **Authorized official:** TODD N WITTE MD (MANAGING MEMBER)
- **Authorized official phone:** (360) 734-1420

## Contact information

- **Practice address:** 3111 WOBURN ST STE 101, BELLINGHAM, WA 98226-6610
- **Practice address phone:** (360) 734-1420
- **Practice address fax:** (360) 733-1659
- **Mailing address:** 3111 WOBURN ST STE 101, BELLINGHAM, WA 98226-6610
- **Mailing address phone:** (360) 734-1420
- **Mailing address fax:** (360) 733-1659

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 601886708 | WA | Yes |

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 05/24/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7090533 | — | WA |