Provider Demographics
NPI:1750708855
Name:HAND SURGEONS NORTHWEST, PLLC
Entity type:Organization
Organization Name:HAND SURGEONS NORTHWEST, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:HENDRIK
Authorized Official - Last Name:KIRCHHOFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:425-744-7474
Mailing Address - Street 1:PO BOX 2227
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98073-2227
Mailing Address - Country:US
Mailing Address - Phone:425-744-7474
Mailing Address - Fax:425-744-7475
Practice Address - Street 1:19203 36TH AVE W
Practice Address - Street 2:SUITE 103
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-5757
Practice Address - Country:US
Practice Address - Phone:425-744-7474
Practice Address - Fax:425-744-7475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-26
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000470842086S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the HandGroup - Single Specialty