Provider Demographics
NPI:1568729572
Name:BEST NORTHWEST PHYSICIANS PLLC
Entity Type:Organization
Organization Name:BEST NORTHWEST PHYSICIANS PLLC
Other - Org Name:NOBLE PHYSICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:MILES
Authorized Official - Last Name:RUDNICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:253-737-5764
Mailing Address - Street 1:6300 SAND POINT WAY NE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-7972
Mailing Address - Country:US
Mailing Address - Phone:253-737-5764
Mailing Address - Fax:253-220-2127
Practice Address - Street 1:21709 113TH ST E
Practice Address - Street 2:
Practice Address - City:BONNEY LAKE
Practice Address - State:WA
Practice Address - Zip Code:98391-7844
Practice Address - Country:US
Practice Address - Phone:253-737-5764
Practice Address - Fax:253-220-2127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-15
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00043225207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty