=====================================================
General NPI Number Information
=====================================================
NPI Number | 1841426970
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CAMERON WOODWARD SCHICK M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/03/2009
-----------------------------------------------------
Last Update Date | 09/27/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3101 NORTHUP WAY STE 201
-----------------------------------------------------
City | BELLEVUE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98004-1449
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 425-455-3600
-----------------------------------------------------
Fax | 425-455-3920
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 510 8TH AVE NE STE 320
-----------------------------------------------------
City | ISSAQUAH
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98029-5436
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 425-455-3600
-----------------------------------------------------
Fax | 425-455-3920
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207X00000X
-----------------------------------------------------
Taxonomy Name | Orthopaedic Surgery Physician
-----------------------------------------------------
License Number | MD60552138
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207XS0106X
-----------------------------------------------------
Taxonomy Name | Orthopaedic Hand Surgery Physician
-----------------------------------------------------
License Number | MD60552138
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------