Organization
NORTHWEST CLINICAL NUTRITION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT A KANTER MD (DIRECTOR)
(206) 362-0035
Entity
Organization
Contact information
Practice address
2611 NE 125TH ST STE 90, SUITE 208, SEATTLE, WA 98125-4357
(206) 362-0035
(206) 362-6927
Mailing address
2611 NE 125TH ST STE 90, SEATTLE, WA 98125-4357
(206) 592-5000
(206) 824-9510
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
6006101999
WA
Other
Enumeration date
03/28/2007
Last updated
04/06/2015
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