Organization
NORTHWEST ENDOSCOPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD N WITTE MD (MANAGING MEMBER)
(360) 734-1420
Entity
Organization
Contact information
Practice address
3111 WOBURN ST STE 101, BELLINGHAM, WA 98226-6610
(360) 734-1420
(360) 733-1659
Mailing address
3111 WOBURN ST STE 101, BELLINGHAM, WA 98226-6610
(360) 734-1420
(360) 733-1659
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
601886708
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7090533
—
WA
Enumeration date
09/26/2006
Last updated
05/24/2023
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