Organization
UROLOGY NORTHWEST, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDY S CHAPMAN (ADMINISTRATOR)
(425) 275-5547
Entity
Organization
Contact information
Practice address
6005 244TH ST SW, STE 111, MOUNTLAKE TERRACE, WA 98043-5400
(425) 275-5555
(425) 275-5591
Mailing address
6005 244TH ST SW, STE 111, MOUNTLAKE TERRACE, WA 98043-5400
(425) 275-5555
(425) 275-5591
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105065
LABOR AND INDUSTRIES
WA
05
—
7081094
—
WA
01
—
CE8230
RAILROAD MEDICARE
WA
01
—
NO3976
KING COUNTY
WA
Enumeration date
04/21/2006
Last updated
06/23/2008
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