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
1740 NW MAPLE ST, SUITE 211, ISSAQUAH, WA 98027-8924
(425) 395-0175
(425) 395-0176
Mailing address
4540 SAND POINT WAY NE, SUITE 200, SEATTLE, WA 98105-3941
(206) 527-2577
(206) 527-2514
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
600176916
WA
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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