Provider Demographics
NPI:1720073026
Name:WEST, FRANKLIN W (RN, BSN, RVT, RVS,)
Entity Type:Individual
Prefix:MR
First Name:FRANKLIN
Middle Name:W
Last Name:WEST
Suffix:
Gender:M
Credentials:RN, BSN, RVT, RVS,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11714 N CREEK PKWY N
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-8250
Mailing Address - Country:US
Mailing Address - Phone:425-398-7774
Mailing Address - Fax:425-486-8976
Practice Address - Street 1:11714 N CREEK PKWY N
Practice Address - Street 2:SUITE 100
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-8250
Practice Address - Country:US
Practice Address - Phone:425-398-7774
Practice Address - Fax:425-486-8976
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00065178163W00000X
246XC2903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No246XC2903XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularVascular Specialist