# NORTHWEST MEDICAL PROFESSIONAL CORPORATION

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

## Provider details

- **NPI number:** 1609848514
- **Authorized official:** LIZ C LOUTZENHEISER R.N. (CLINIC MANAGER)
- **Authorized official phone:** (907) 276-6301

## Contact information

- **Practice address:** 2841 DEBARR RD, SUITE 22, ANCHORAGE, AK 99508-2932
- **Practice address phone:** (907) 276-6301
- **Practice address fax:** (907) 264-1541
- **Mailing address:** 2841 DEBARR RD, SUITE 22, ANCHORAGE, AK 99508-2932
- **Mailing address phone:** (907) 276-6301
- **Mailing address fax:** (907) 264-1541

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/03/2006
- **Last updated:** 05/27/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0154 | — | AK |