Provider Demographics
NPI:1972619906
Name:NADESHIKO CLINIC
Entity Type:Organization
Organization Name:NADESHIKO CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SACHIKO
Authorized Official - Middle Name:
Authorized Official - Last Name:OSHIO
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:206-354-7045
Mailing Address - Street 1:10827 NE 68TH ST
Mailing Address - Street 2:STE E
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-4000
Mailing Address - Country:US
Mailing Address - Phone:206-354-7045
Mailing Address - Fax:425-889-4450
Practice Address - Street 1:10827 NE 68TH ST
Practice Address - Street 2:STE E
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-4000
Practice Address - Country:US
Practice Address - Phone:206-354-7045
Practice Address - Fax:425-889-4450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center