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
10333 19TH AVE SE, #105, EVERETT, WA 98208-4267
(425) 385-2802
(425) 337-7967
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
—
CI9081
RAILROAD MEDICARE
—
01
—
NO4513
REGENCE
WA
Enumeration date
11/21/2006
Last updated
04/23/2010
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