Organization
PUBLIC HOSPITAL DISTRICT NO 2
Active
Parent organization
PUBLIC HOSPITAL DISTRICT NO 2
Other names
Center for Continence & Pelvic Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
PUBLIC HOSPITAL DISTRICT NO 2
Authorized official
ROBERT MALTE (CEO)
(425) 899-2610
Entity
Organization
Contact information
Practice address
12303 NE 130TH LN, # 225, KIRKLAND, WA 98034-3099
(425) 899-3890
(425) 899-3889
Mailing address
PO BOX 34036, SEATTLE, WA 98124-1036
(425) 899-3292
(425) 899-3269
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7135783
—
WA
01
—
CG2833
MEDICARE RAILROAD
WA
01
—
CG8137
MEDICARE RAILROAD
WA
01
—
CJ9678
MEDICARE RAILROAD
WA
01
—
CQ2437
MEDICARE RAILROAD
WA
Enumeration date
10/16/2006
Last updated
01/04/2011
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