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PACIFIC COLON AND RECTAL CLINIC PS NPI 1518140094


NPI Information

NPI: 1518140094
Provider Name: PACIFIC COLON AND RECTAL CLINIC PS
Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Organization
Address:
12303 NE 130TH LN
SUITE 530
KIRKLAND, WA
ZIP 98034
Phone: (425) 899-4600
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PACIFIC COLON AND RECTAL CLINIC PS is a colon rectal surgery in Kirkland, WA. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. PACIFIC COLON AND RECTAL CLINIC PS NPI is 1518140094. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12303 NE 130TH LN
SUITE 530
KIRKLAND, WA
ZIP 98034-099
Phone: (425) 899-4600

The provider's authorized official is James G Hibbert .
The authorized official title is Owner and has the following contact phone number (425) 899-4600.

The enumeration date for this NPI number is 12/7/2007 and was last updated on 5/27/2011.


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
1208C00000XColon & Rectal SurgeryMD00030958WASHINGTONYes

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
149129OTHERWASHINGTONL & I STATE
27054836MEDICAIDWASHINGTON
3AB18252MEDICARE PINWASHINGTON
4PA9248OTHERWASHINGTONREGENCE

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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