Healthcare Provider Details

I. General information

NPI: 1720073026
Provider Name (Legal Business Name): FRANKLIN W. WEST RN, BSN., RVT, RVS,
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2005
Last Update Date: 09/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11714 N CREEK PKWY N SUITE 100
BOTHELL WA
98011-8250
US

IV. Provider business mailing address

11714 N CREEK PKWY N SUITE 100
BOTHELL WA
98011-8250
US

V. Phone/Fax

Practice location:
  • Phone: 425-398-7774
  • Fax: 425-486-8976
Mailing address:
  • Phone: 425-398-7774
  • Fax: 425-486-8976

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN00065178
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code246XC2903X
TaxonomyVascular Specialist/Technologist Cardiovascular
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: