MEDICARE: NORTHWEST ASTHMA & ALLERGY CENTER

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
1	207K00000X	Allergy & Immunology Physician		WA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CP7653	OTHER	WA	RAIL ROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	NO3779	OTHER	WA	REGENCE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679504526
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHWEST ASTHMA & ALLERGY CENTER

Provider Business Mailing Address
First Line	:	9725 3RD AVE NE
Second Line	:	#500
City	:	SEATTLE
State	:	WA
Zip	:	98115-2060
Country	:	US
Telephone Number	:	206-527-1200
Fax Number	:	206-527-2514

Provider Business Practice Location Address
First Line	:	9725 3RD AVE NE
Second Line	:	#500
City	:	SEATTLE
State	:	WA
Zip	:	98115-2060
Country	:	US
Telephone Number	:	206-527-1200
Fax Number	:	206-527-2514

Authorized Official
Title or Position	:	PATIENT ACCOUNTS MANAGER
Name	:	KATHLEEN FIRTH
Credential	:
Telephone Number	:	206-527-1200

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	06/24/2020

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Directions to “NORTHWEST ASTHMA & ALLERGY CENTER ” Practice Location

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