Provider Demographics
NPI:1659607810
Name:SILVERDALE ORTHOPEDICS LLC
Entity Type:Organization
Organization Name:SILVERDALE ORTHOPEDICS LLC
Other - Org Name:NW ORTHOPEDICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:N
Authorized Official - Last Name:BAYS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:206-735-7322
Mailing Address - Street 1:140 4TH AVE N
Mailing Address - Street 2:STE 170
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-4940
Mailing Address - Country:US
Mailing Address - Phone:206-404-9700
Mailing Address - Fax:206-404-9705
Practice Address - Street 1:140 4TH AVE N
Practice Address - Street 2:STE 170
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-4940
Practice Address - Country:US
Practice Address - Phone:206-404-9700
Practice Address - Fax:206-404-9705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-22
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA0252070P00001343207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7108368Medicaid
WA8283194Medicaid
WAF73867Medicare UPIN