Organization
ALLERGY & ASTHMA SPECIALTY SERVICE PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. W PIERRE ANDRADE MD (OWNER)
(253) 588-4878
Entity
Organization
Contact information
Practice address
11307 BRIDGEPORT WAY SW, SUITE 200, LAKEWOOD, WA 98499-3024
(253) 589-1380
(253) 589-1786
Mailing address
11307 BRIDGEPORT WAY SW, SUITE 200, LAKEWOOD, WA 98499-3024
(253) 589-1380
(253) 589-1786
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7041486
—
WA
Enumeration date
08/30/2006
Last updated
05/14/2008
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