Healthcare Provider Details

I. General information

NPI: 1679724827
Provider Name (Legal Business Name): NW MONITORING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2008
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3303 JAHN AVE NW STE 238A&B
GIG HARBOR WA
98335-8050
US

IV. Provider business mailing address

PO BOX 760
FOX ISLAND WA
98333-0760
US

V. Phone/Fax

Practice location:
  • Phone: 360-539-8487
  • Fax: 360-358-9944
Mailing address:
  • Phone: 360-539-8487
  • Fax: 360-358-9944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code246ZE0600X
TaxonomyElectroneurodiagnostic Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. VIRGINIA DALE
Title or Position: OWNER
Credential:
Phone: 360-539-8487