=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336211341
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LINDA DIANE SWARTZ M.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/14/2006
-----------------------------------------------------
Last Update Date | 05/27/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 20730 BOND RD NE SUITE 201
-----------------------------------------------------
City | POULSBO
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98370-9000
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-697-4557
-----------------------------------------------------
Fax | 360-697-4007
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 20730 BOND RD NE SUITE 201
-----------------------------------------------------
City | POULSBO
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98370-9000
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-697-4557
-----------------------------------------------------
Fax | 360-697-4007
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084N0400X
-----------------------------------------------------
Taxonomy Name | Neurology Physician
-----------------------------------------------------
License Number | 0027418
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------