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NORTHWEST MEDICAL SPECIALTIES PLLC NPI 1588052245


NPI Information

NPI: 1588052245
Provider Name: NORTHWEST MEDICAL SPECIALTIES, PLLC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 50D0661518

Address:
2920 S MERIDIAN
SUITE 100
PUYALLUP, WA
ZIP 98373
Phone: (253) 841-4296
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NORTHWEST MEDICAL SPECIALTIES, PLLC is a hematology and oncology internal medicine in Puyallup, WA. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. NORTHWEST MEDICAL SPECIALTIES, PLLC NPI is 1588052245. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2920 S MERIDIAN
SUITE 100
PUYALLUP, WA
ZIP 98373-428
Phone: (253) 841-4296
Fax: (253) 841-2435

The provider's authorized official is Mark V Nelson .
The authorized official title is Ceo and has the following contact phone number (253) 428-8700.

The CLIA number assigned to this NPI record is 50D0661518 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/5/2015 and was last updated on 1/5/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0003XInternal MedicineHematology & OncologyMD60274322WASHINGTONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1MD60274322OTHERWASHINGTONLICENSE

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: 11/14/2023

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