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PACIFIC NORTHWEST UROGYNECOLOGY PLLC NPI 1205015112


NPI Information

NPI: 1205015112
Provider Name: PACIFIC NORTHWEST UROGYNECOLOGY PLLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
903 MEDICAL CENTER DR
ARLINGTON, WA
ZIP 98223
Phone: (360) 329-7897
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PACIFIC NORTHWEST UROGYNECOLOGY PLLC is a specialist in Arlington, WA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PACIFIC NORTHWEST UROGYNECOLOGY PLLC NPI is 1205015112. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

903 MEDICAL CENTER DR
ARLINGTON, WA
ZIP 98223-697
Phone: (360) 329-7897
Fax: (360) 925-2898

The provider's authorized official is William Andre Silva .
The authorized official title is Member and has the following contact phone number (206) 658-7652.

The enumeration date for this NPI number is 10/26/2007 and was last updated on 8/19/2013.


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
1174400000XSpecialistMD00044925WASHINGTONYes

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
1G8917673OTHERWASHINGTONMEDICARE PTAN FOR GROUP (ARLINGTON, WA)
20307100OTHERWASHINGTONL&I
31861413965OTHERTYPE 1 (INDIVIDUAL) NPI
41205015112OTHERWASHINGTONMEDICAID BILLING PROVIDER #
52025944OTHERWASHINGTONPROVIDER ONE # (LINKED TO TYPE 2 NPI)
61861413965OTHERWASHINGTONMEDICAID RENDERING PROVIDER #
71205015112OTHERTYPE 2 (GROUP/ORGANIZATIONAL) NPI
8G8917674OTHERWASHINGTONMEDICARE PTAN FOR INDIVIDUAL (ARLINGTON, WA)

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

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