Provider Demographics
NPI:1538505839
Name:PARTNERMD WASHINGTON, PC
Entity Type:Organization
Organization Name:PARTNERMD WASHINGTON, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:NICHOLAS
Authorized Official - Last Name:PEPE
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:425-318-4848
Mailing Address - Street 1:19125 N CREEK PKWY
Mailing Address - Street 2:SUITE 204
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-8035
Mailing Address - Country:US
Mailing Address - Phone:425-318-4848
Mailing Address - Fax:425-458-7945
Practice Address - Street 1:19125 N CREEK PKWY
Practice Address - Street 2:SUITE 204
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-8035
Practice Address - Country:US
Practice Address - Phone:425-318-4848
Practice Address - Fax:425-458-7945
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PARTNERMD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-05-14
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00026250207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty