Healthcare Provider Details

I. General information

NPI: 1063519031
Provider Name (Legal Business Name): MILL CREEK WOMEN'S HEALTHCARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 05/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15808 MILL CREEK BLVD SUITE #200
MILL CREEK WA
98012-1500
US

IV. Provider business mailing address

8513 NE HAZEL DELL AVE SUITE #102
VANCOUVER WA
98665-8068
US

V. Phone/Fax

Practice location:
  • Phone: 425-673-3420
  • Fax: 425-673-3423
Mailing address:
  • Phone: 360-450-3926
  • Fax: 360-450-3926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: ORLY PNINA STEINBERG
Title or Position: OWNER/PROVIDER
Credential: M.D.
Phone: 425-673-3420