Organization
NORTHWEST HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA CORONEL (COMPLIANCE OFFICER)
(206) 368-1738
Entity
Organization
Contact information
Practice address
1530 N 115TH ST, SUITE 107, SEATTLE, WA 98133-8411
(206) 368-6572
(206) 369-6562
Mailing address
1530 N 115TH ST, SUITE 107, SEATTLE, WA 98133-8411
(206) 368-6572
(206) 369-6562
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MD21915
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1091891
—
WA
Enumeration date
06/20/2006
Last updated
08/22/2020
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