Organization
PACIFIC RIM UROLOGY
Active
Other names
Cascade Urology Consultants P. S. INC
Organization subpart
No
Provider details
NPI number
Authorized official
MANSEL K KEVWITCH MD (OWNER)
(360) 671-1327
Entity
Organization
Contact information
Practice address
2980 SQUALICUM PARKWAY, SUITE 306, BELLINGHAM, WA 98225
(360) 671-1327
(360) 756-2206
Mailing address
2980 SQUALICUM PARKWAY, SUITE 306, BELLINGHAM, WA 98225
(360) 671-1327
(360) 756-2206
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
601949981
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7097090
—
WA
Enumeration date
01/08/2007
Last updated
07/29/2008
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