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NPI Code Detail

MEDICARE: NORTHWEST HAND SPECIALISTS, INC., P.S.

MEDICARE: NORTHWEST HAND SPECIALISTS, INC., P.S.
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
1207XS0106XOrthopaedic Hand Surgery PhysicianWA

General Provider Information

NPI Number : 1467493890
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHWEST HAND SPECIALISTS, INC., P.S.
Provider Business Mailing Address
First Line : 19930 BALLINGER WAY NE
Second Line :
City : SHORELINE
State : WA
Zip : 98155-1223
Country : US
Telephone Number : 206-363-6947
Fax Number : 206-417-6947
Provider Business Practice Location Address
First Line : 19930 BALLINGER WAY NE
Second Line :
City : SHORELINE
State : WA
Zip : 98155-1223
Country : US
Telephone Number : 206-363-6947
Fax Number : 206-417-6947
Authorized Official
Title or Position : CONSULTANT
Name : GLYNIS THAKUR
Credential :
Telephone Number : 206-352-5705
Provider Enumeration Date : 06/09/2006
Last Update Date : 12/20/2007

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