Provider Demographics
NPI:1700321759
Name:NORTHWEST HEALTHCARE
Entity Type:Organization
Organization Name:NORTHWEST HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:PATTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-574-5293
Mailing Address - Street 1:4317 NE THURSTON WAY
Mailing Address - Street 2:SUITE 220
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98662-6658
Mailing Address - Country:US
Mailing Address - Phone:360-574-5293
Mailing Address - Fax:360-718-2502
Practice Address - Street 1:4317 NE THURSTON WAY
Practice Address - Street 2:SUITE 220
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-6658
Practice Address - Country:US
Practice Address - Phone:360-574-5293
Practice Address - Fax:360-718-2502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-29
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAIHS.FS.00000385253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care