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NPI Code Detail

MEDICARE: WASHINGTON INSTITUTE FOR COAGULATION

MEDICARE: WASHINGTON INSTITUTE FOR COAGULATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336S0011XSpecialty Pharmacy
23336C0002XClinic Pharmacy
33336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023678240
Entity Type Code : Organization
Provider Name (Legal Business Name) : WASHINGTON INSTITUTE FOR COAGULATION
Provider Business Mailing Address
First Line : 701 PIKE ST STE 1900
Second Line :
City : SEATTLE
State : WA
Zip : 98101-3932
Country : US
Telephone Number : 206-614-1200
Fax Number : 206-614-1700
Provider Business Practice Location Address
First Line : 701 PIKE ST STE 1900
Second Line :
City : SEATTLE
State : WA
Zip : 98101-3932
Country : US
Telephone Number : 206-614-1200
Fax Number : 206-614-1700
Authorized Official
Title or Position : EXECUTIVE OFFICER
Name : DR. REBECCA KRUSE-JARRES
Credential : MD
Telephone Number : 206-614-1200
Provider Enumeration Date : 06/19/2019
Last Update Date : 04/14/2021

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Directions to “WASHINGTON INSTITUTE FOR COAGULATION ” Practice Location

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