Healthcare Provider Details

I. General information

NPI: 1598185613
Provider Name (Legal Business Name): NADESHIKO WOMEN'S CLINIC, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2014
Last Update Date: 12/02/2020
Certification Date: 12/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13401 BEL-RED ROAD A-12
BELLEVUE WA
98005-2322
US

IV. Provider business mailing address

11460 109TH AVE NE
KIRKLAND WA
98033-4501
US

V. Phone/Fax

Practice location:
  • Phone: 206-354-6619
  • Fax: 888-975-8077
Mailing address:
  • Phone: 206-354-6619
  • Fax: 888-975-8077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberAP30003584
License Number StateWA

VIII. Authorized Official

Name: DR. SACHIKO OSHIO
Title or Position: OWNER, NURSE-PRACTITIONER
Credential: CNM, ARNP
Phone: 206-354-6619