Provider Demographics
NPI:1356500995
Name:UNIVERSITY OF WASHINGTON
Entity Type:Organization
Organization Name:UNIVERSITY OF WASHINGTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL FELLOW
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:RACHID DE
Authorized Official - Last Name:OLIVEIRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-959-7095
Mailing Address - Street 1:511 E ROY ST
Mailing Address - Street 2:APTO 304
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-5945
Mailing Address - Country:US
Mailing Address - Phone:617-959-7095
Mailing Address - Fax:
Practice Address - Street 1:1107 NE 45TH STREET
Practice Address - Street 2:SUITE 440
Practice Address - City:WASHINGTON
Practice Address - State:WA
Practice Address - Zip Code:98195-4807
Practice Address - Country:US
Practice Address - Phone:617-959-7095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-09
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital