Provider Demographics
NPI:1669644613
Name:HIGHLINE WOMEN'S CLINIC
Entity Type:Organization
Organization Name:HIGHLINE WOMEN'S CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDRES
Authorized Official - Middle Name:
Authorized Official - Last Name:ARANCA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-431-8830
Mailing Address - Street 1:15217 8TH AVE S
Mailing Address - Street 2:SUITE A
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98148-2566
Mailing Address - Country:US
Mailing Address - Phone:206-431-8830
Mailing Address - Fax:206-431-8833
Practice Address - Street 1:15217 8TH AVE S
Practice Address - Street 2:SUITE A
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98148-2566
Practice Address - Country:US
Practice Address - Phone:206-431-8830
Practice Address - Fax:206-431-8833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-31
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00020700174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty