Healthcare Provider Details

I. General information

NPI: 1740375112
Provider Name (Legal Business Name): NORTHWEST INPATIENT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 10/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1560 N 115TH ST SUITE 106
SEATTLE WA
98133-8414
US

IV. Provider business mailing address

1560 N 115TH ST SUITE 106
SEATTLE WA
98133-8414
US

V. Phone/Fax

Practice location:
  • Phone: 206-368-5974
  • Fax: 206-368-5751
Mailing address:
  • Phone: 206-368-5974
  • Fax: 206-368-5751

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MRS. HINDA J SCHNURMAN
Title or Position: MANAGER
Credential:
Phone: 206-368-5974