Organization
NORTHWESTERN MEDX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG RUBIN (PRINCIPLE)
(954) 448-2350
Entity
Organization
Contact information
Practice address
1546 NW 56TH ST, SEATTLE, WA 98107-5209
(954) 448-2350
Mailing address
1546 NW 56TH ST, SEATTLE, WA 98107-5209
(954) 448-2350
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/22/2015
Last updated
09/23/2016
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