Provider Demographics
NPI:1558082073
Name:PNW FAMILY MEDICINE PLLC
Entity Type:Organization
Organization Name:PNW FAMILY MEDICINE PLLC
Other - Org Name:PNW FAMILY MEDICINE PLLC
Other - Org Type:Other Name
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NATHALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ACHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-849-8161
Mailing Address - Street 1:1310 116TH AVE NE STE B
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-3817
Mailing Address - Country:US
Mailing Address - Phone:425-285-6900
Mailing Address - Fax:
Practice Address - Street 1:1310 116TH AVE NE STE B
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3817
Practice Address - Country:US
Practice Address - Phone:425-285-6900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-05
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty