Provider Demographics
NPI:1598185613
Name:NADESHIKO WOMEN'S CLINIC, PLLC
Entity Type:Organization
Organization Name:NADESHIKO WOMEN'S CLINIC, PLLC
Other - Org Name:NADESHIKO CLINIC PLLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER, NURSE-PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:SACHIKO
Authorized Official - Middle Name:
Authorized Official - Last Name:OSHIO
Authorized Official - Suffix:
Authorized Official - Credentials:CNM, ARNP
Authorized Official - Phone:206-354-6619
Mailing Address - Street 1:11460 109TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-4501
Mailing Address - Country:US
Mailing Address - Phone:206-354-6619
Mailing Address - Fax:888-975-8077
Practice Address - Street 1:13401 BEL-RED ROAD
Practice Address - Street 2:A-12
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-2322
Practice Address - Country:US
Practice Address - Phone:206-354-6619
Practice Address - Fax:888-975-8077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-17
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30003584261Q00000X
363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Multi-Specialty