Healthcare Provider Details

I. General information

NPI: 1780862466
Provider Name (Legal Business Name): NORTHWEST HOSPITAL INPATIENT SERVICES TR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2008
Last Update Date: 06/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 N 115TH ST
SEATTLE WA
98133-8401
US

IV. Provider business mailing address

1550 N 115TH ST MS D149B
SEATTLE WA
98133-8401
US

V. Phone/Fax

Practice location:
  • Phone: 206-368-1500
  • Fax: 206-368-1503
Mailing address:
  • Phone: 206-368-1849
  • Fax: 206-368-1503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: HINDA SCHNURMAN
Title or Position: CLINIC MANAGER
Credential:
Phone: 206-368-5974