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Organization

NORTHWEST PULMONOLOGY PHYSICIANS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW M RICE MD (SR VP & CHIEF MEDICAL OFFICER)
(800) 336-8614
Entity
Organization

Contact information

Practice address
21601 76TH AVE W, EDMONDS, WA 98026-7507
(206) 364-2050
(206) 361-5722
Mailing address
PO BOX 635704, CINCINNATI, OH 45263-5704
(800) 562-2945
(253) 838-6418

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0220093
LABOR & IND STEVENS
WA
01
0220096
LABOR & IND WA KINDRED
WA
01
1055NO
BCBS
WA
05
7137912
WA
05
7139140
WA
01
8945381
VCR
WA
Enumeration date
03/19/2007
Last updated
02/25/2008
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