Healthcare Provider Details

I. General information

NPI: 1346267390
Provider Name (Legal Business Name): NORTHWEST HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 01/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1536 N 115TH ST SUITE 105
SEATTLE WA
98133-8400
US

IV. Provider business mailing address

1536 N 115TH ST SUITE 105
SEATTLE WA
98133-8400
US

V. Phone/Fax

Practice location:
  • Phone: 206-368-1160
  • Fax: 206-368-1159
Mailing address:
  • Phone: 206-368-1160
  • Fax: 206-368-1159

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number StateWA

VIII. Authorized Official

Name: DANIEL L DOWNEY
Title or Position: MANAGING PHYSICIAN
Credential: MD
Phone: 206-368-1160