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
1412 SW 43RD ST, SUITE 210, RENTON, WA 98055-4803
(425) 235-1716
(425) 277-5479
Mailing address
4540 SAND POINT WAY NE, SUITE 200, SEATTLE, WA 98105-3941
(206) 527-1200
(206) 523-0724
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP7653
RAILROAD MEDICARE
WA
Enumeration date
05/09/2007
Last updated
04/23/2010
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