Healthcare Provider Details

I. General information

NPI: 1023071164
Provider Name (Legal Business Name): NORTHWEST HOSPITAL PROVIDERS TR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2006
Last Update Date: 03/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10330 MERIDIAN AVE N #230
SEATTLE WA
98133-9451
US

IV. Provider business mailing address

10330 MERIDIAN AVE N #230
SEATTLE WA
98133-9451
US

V. Phone/Fax

Practice location:
  • Phone: 206-524-4737
  • Fax: 206-524-4740
Mailing address:
  • Phone: 206-524-4737
  • Fax: 206-524-4740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHARLES WILLIAM SCHNEIDER
Title or Position: PRES/CEO
Credential:
Phone: 206-368-1700