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Organization

NORTHWEST ASTHMA & ALLERGY CENTER

Active
Parent organization
NORTHWEST ASTHMA & ALLERGY CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
NORTHWEST ASTHMA & ALLERGY CENTER
Authorized official
PATRICIA S MATHIAS (CREDENTIALING COORDINATOR)
(206) 527-2577
Entity
Organization

Contact information

Practice address
108 COLUMBIA POINT DR, RICHLAND, WA 99352-4387
(509) 946-0189
(509) 946-0264
Mailing address
4540 SAND POINT WAY NE, SUITE 200, SEATTLE, WA 98105-3941
(206) 527-1200

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7701808
WA
01
C19080
RAILROAD MEDICARE
WA
01
NO9642
REGENCE
WA
Enumeration date
11/21/2006
Last updated
01/18/2008
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