ADULT & CHILD MEDICINE LLC NPI 1467631424

NPI Information

NPI: 1467631424
Provider Name: ADULT & CHILD MEDICINE LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1207 N 200TH ST
SUITE # 102
SHORELINE, WA
ZIP 98133
Phone: (206) 533-1570
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ADULT & CHILD MEDICINE LLC is a primary care clinic center in Shoreline, WA. ADULT & CHILD MEDICINE LLC NPI is 1467631424. The provider is registered as an organization entity type.

The provider's business location address is:

1207 N 200TH ST
SUITE # 102
SHORELINE, WA
ZIP 98133-213
Phone: (206) 533-1570

The provider's authorized official is Irina D Milman .
The authorized official title is Owner and has the following contact phone number (206) 533-1570.

The enumeration date for this NPI number is 10/26/2007 and was last updated on 10/18/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	MD00042748	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G8806189	MEDICARE PIN	WASHINGTON
2	2227182	OTHER	WASHINGTON	FIRST HEALTH
3	I06130	MEDICARE UPIN	WASHINGTON
4	1120534	MEDICAID	WASHINGTON
5	6175MI	OTHER	WASHINGTON	REGENCE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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