# VIRGINIA MASON MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sandpoint Pediatrics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871863605
- **Authorized official:** MONICA HILT (PRESIDENT)
- **Authorized official phone:** (206) 341-1208

## Contact information

- **Practice address:** 4575 SAND POINT WAY NE, SUITE 108, SEATTLE, WA 98105-3950
- **Practice address phone:** (206) 525-8000
- **Mailing address:** PO BOX 741515, LOS ANGELES, CA 90074-1515
- **Mailing address phone:** (206) 515-5811
- **Mailing address fax:** (206) 341-0274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | AP60254262 | WA | Yes |

## Other

- **Enumeration date:** 01/10/2012
- **Last updated:** 08/07/2024