Provider Demographics
NPI:1851754204
Name:THE PERFECT PUSH, PLLC
Entity Type:Organization
Organization Name:THE PERFECT PUSH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LACTATION SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:RUGARE
Authorized Official - Middle Name:MUGABE
Authorized Official - Last Name:KHOSA
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:206-909-1063
Mailing Address - Street 1:15127 NE 24TH ST
Mailing Address - Street 2:#301
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-5544
Mailing Address - Country:US
Mailing Address - Phone:206-909-1063
Mailing Address - Fax:
Practice Address - Street 1:15127 NE 24TH ST
Practice Address - Street 2:#301
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-5544
Practice Address - Country:US
Practice Address - Phone:206-909-1063
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-02
Last Update Date:2016-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60128874163WL0100X
WA603503499253Z00000X
WAAP60556927363LF0000X
374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty