Organization
SPORTS MEDICINE GROUP
Active
Parent organization
NORTHWEST HOSPITAL
Other names
The Sports Medicine Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST HOSPITAL
Authorized official
RICKI VADSET (CLINIC ADMINISTRATOR)
(206) 368-6100
Entity
Organization
Contact information
Practice address
10330 MERIDIAN AVE N, SUITE 300, SEATTLE, WA 98133-9451
(206) 368-6100
(206) 368-6101
Mailing address
10330 MERIDIAN AVE N, SUITE 300, SEATTLE, WA 98133-9451
(206) 368-6100
(206) 368-6101
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
601 664 888
WA
Other
Enumeration date
09/21/2006
Last updated
09/25/2008
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