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NPI Code Detail

MEDICARE: NORTHWEST HAND SPECIALISTS, INC PS

MEDICARE: NORTHWEST HAND SPECIALISTS, INC 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
1261QM2500XMedical Specialty Clinic/Center

General Provider Information

NPI Number : 1851316863
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHWEST HAND SPECIALISTS, INC PS
Provider Business Mailing Address
First Line : 19930 BALLINGER WAY NE
Second Line :
City : SHORELINE
State : WA
Zip : 98155-1223
Country : US
Telephone Number :
Fax Number :
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 :
Authorized Official
Title or Position : PRESIDENT
Name : EDWIN D VYHMEISTER
Credential : MD
Telephone Number : 206-363-6947
Provider Enumeration Date : 07/12/2006
Last Update Date : 08/23/2013

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Directions to “NORTHWEST HAND SPECIALISTS, INC PS ” Practice Location

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