Organization
LIFECENTER NORTHWEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN PETERSON (VP FINANCE AND ACCOUNTING)
(425) 201-6604
Entity
Organization
Contact information
Practice address
3650 131ST AVE SE STE 200, BELLEVUE, WA 98006-1395
(877) 275-5269
Mailing address
3650 131ST AVE SE STE 200, BELLEVUE, WA 98006-1395
(877) 275-5269
Taxonomy
Speciality
Code
Description
License number
State
335U00000X
Organ Procurement Organization
Primary
—
—
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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