Provider Demographics
NPI:1487214326
Name:NORDSTROM INC & SUBSIDIARIES
Entity Type:Organization
Organization Name:NORDSTROM INC & SUBSIDIARIES
Other - Org Name:NORDSTROM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOOPES
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:206-373-4462
Mailing Address - Street 1:1617 6TH AVE
Mailing Address - Street 2:PROSTHESIS OFFICE
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-1707
Mailing Address - Country:US
Mailing Address - Phone:206-373-4462
Mailing Address - Fax:
Practice Address - Street 1:100 WATER ST STE A
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06854-3067
Practice Address - Country:US
Practice Address - Phone:206-373-4462
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORDSTROM INC & SUBSIDIARIES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-06-13
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier