MEDICARE: HIGHLINE WOMEN'S CLINIC

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	174400000X	Specialist	MD00020700	WA

General Provider Information

NPI Number	:	1669644613
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIGHLINE WOMEN'S CLINIC

Provider Business Mailing Address
First Line	:	15217 8TH AVE S
Second Line	:	SUITE A
City	:	BURIEN
State	:	WA
Zip	:	98148-2566
Country	:	US
Telephone Number	:	206-431-8830
Fax Number	:	206-431-8833

Provider Business Practice Location Address
First Line	:	15217 8TH AVE S
Second Line	:	SUITE A
City	:	BURIEN
State	:	WA
Zip	:	98148-2566
Country	:	US
Telephone Number	:	206-431-8830
Fax Number	:	206-431-8833

Authorized Official
Title or Position	:	OWNER
Name	:	ANDRES ARANCA
Credential	:	MD
Telephone Number	:	206-431-8830

Provider Enumeration Date	:	03/31/2008
Last Update Date	:	03/31/2008

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Directions to “HIGHLINE WOMEN'S CLINIC ” Practice Location

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