Provider Demographics
NPI:1851680664
Name:ASSOCIATION OF CHMC AND UNIVERSITY PHYSICIANS
Entity Type:Organization
Organization Name:ASSOCIATION OF CHMC AND UNIVERSITY PHYSICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOC DIRECTOR OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:PATTI
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-987-8471
Mailing Address - Street 1:PO BOX 50010
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98145-5003
Mailing Address - Country:US
Mailing Address - Phone:206-987-8450
Mailing Address - Fax:
Practice Address - Street 1:969 STEVENS DR
Practice Address - Street 2:SUITE 1B
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-3525
Practice Address - Country:US
Practice Address - Phone:509-946-0976
Practice Address - Fax:509-946-0983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-01
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA104242207X00000X, 208000000X, 2080P0202X, 2080P0206X, 2080P0210X, 2080P0214X, 2080P0216X, 2088P0231X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric CardiologyGroup - Multi-Specialty
No2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric GastroenterologyGroup - Multi-Specialty
No2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric NephrologyGroup - Multi-Specialty
No2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric PulmonologyGroup - Multi-Specialty
No2080P0216XAllopathic & Osteopathic PhysiciansPediatricsPediatric RheumatologyGroup - Multi-Specialty
No2088P0231XAllopathic & Osteopathic PhysiciansUrologyPediatric UrologyGroup - Multi-Specialty