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STANLEY HERSCHBERG D.O.P.S. NPI 1780906263


NPI Information

NPI: 1780906263
Provider Name: STANLEY HERSCHBERG D.O.P.S.
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
10564 5TH AVE NE STE 401
SEATTLE, WA
ZIP 98125
Phone: (206) 362-6300
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STANLEY HERSCHBERG D.O.P.S. is a medical specialty clinic center in Seattle, WA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). STANLEY HERSCHBERG D.O.P.S. NPI is 1780906263. The provider is registered as an organization entity type.

The provider's business location address is:

10564 5TH AVE NE STE 401
SEATTLE, WA
ZIP 98125-200
Phone: (206) 362-6300
Fax: (206) 362-6301

The provider's authorized official is Stanley Herschberg .
The authorized official title is President and has the following contact phone number (206) 362-6300.

The enumeration date for this NPI number is 2/24/2010 and was last updated on 2/24/2010.


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
1261QM2500XClinic/CenterMedical Specialty40000692WASHINGTONYes

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
1E33021MEDICARE UPINWASHINGTON
21366905MEDICAIDWASHINGTON

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: 4/28/2024

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