Provider Demographics
NPI:1679504526
Name:NORTHWEST ASTHMA & ALLERGY CENTER
Entity Type:Organization
Organization Name:NORTHWEST ASTHMA & ALLERGY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PATIENT ACCOUNTS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:FIRTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-527-1200
Mailing Address - Street 1:9725 3RD AVE NE
Mailing Address - Street 2:#500
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-2060
Mailing Address - Country:US
Mailing Address - Phone:206-527-1200
Mailing Address - Fax:206-527-2514
Practice Address - Street 1:9725 3RD AVE NE
Practice Address - Street 2:#500
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-2060
Practice Address - Country:US
Practice Address - Phone:206-527-1200
Practice Address - Fax:206-527-2514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WACP7653OtherRAIL ROAD MEDICARE
WANO3779OtherREGENCE
WA7701808Medicaid
WACP7653OtherRAIL ROAD MEDICARE
WA0436890005Medicare NSC