MEDICARE: ORTHOPEDICS INTERNATIONAL LTD. PS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1164460515
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOPEDICS INTERNATIONAL LTD. PS

Provider Business Mailing Address
First Line	:	901 BOREN AVE
Second Line	:	SUITE 800
City	:	SEATTLE
State	:	WA
Zip	:	98104-3534
Country	:	US
Telephone Number	:	206-323-1900
Fax Number	:	206-323-6868

Provider Business Practice Location Address
First Line	:	901 BOREN AVE
Second Line	:	SUITE 800
City	:	SEATTLE
State	:	WA
Zip	:	98104-3534
Country	:	US
Telephone Number	:	206-323-1900
Fax Number	:	206-323-6868

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARCO N. WEN
Credential	:	MD
Telephone Number	:	206-323-1900

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	11/09/2010

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