Organization
NORTHWEST ORTHOPAEDIC SURGEONS, P.S.
Active
Organization
NORTHWEST ORTHOPAEDIC SURGEONS, P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT G BILLOW D.O. (PRESIDENT)
(360) 424-7041
Entity
Organization
Contact information
Practice address
1500 CONTINENTAL PL, MOUNT VERNON, WA 98273-4105
(360) 424-7041
Mailing address
1500 CONTINENTAL PL, MOUNT VERNON, WA 98273-4105
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0128498
LABOR AND INDUSTRIES
WA
05
—
7089519
—
WA
01
—
CI8924
UNITED HEALTHCARE
WA
Enumeration date
07/19/2005
Last updated
03/19/2008
Update your record
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