Provider Demographics
NPI:1255887519
Name:NORDSTROM INC & SUBSIDIARIES
Entity type:Organization
Organization Name:NORDSTROM INC & SUBSIDIARIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE PROSTHESIS OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KRESHA
Authorized Official - Middle Name:BREE
Authorized Official - Last Name:BRITTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-454-4060
Mailing Address - Street 1:1617 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-1707
Mailing Address - Country:US
Mailing Address - Phone:206-454-4555
Mailing Address - Fax:206-454-1279
Practice Address - Street 1:3111 PALM WAY
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758
Practice Address - Country:US
Practice Address - Phone:206-454-4555
Practice Address - Fax:206-454-1279
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORDSTROM INC & SUBSIDIARIES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-08-28
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier