Provider Demographics
NPI:1225345986
Name:NORTHWEST REHABILITATION PHYSICIANS, INC., P.S.
Entity Type:Organization
Organization Name:NORTHWEST REHABILITATION PHYSICIANS, INC., P.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VIJAY
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:585-305-0229
Mailing Address - Street 1:1908 29TH AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-4853
Mailing Address - Country:US
Mailing Address - Phone:585-305-0229
Mailing Address - Fax:206-274-8539
Practice Address - Street 1:1908 29TH AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-4853
Practice Address - Country:US
Practice Address - Phone:585-305-0229
Practice Address - Fax:206-274-8539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-01
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD 60158513208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty