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Contact Information

NORTHWEST PEDIATRIC HEART SPECIALISTS PLLC
1901 S CEDAR ST STE 103
TACOMA, WA98405-2302
 Phone: 253-272-1812
 Fax: 253-682-1455
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for NORTHWEST PEDIATRIC HEART SPECIALISTS PLLC · (Female)

NPI Number 1730240599
Status Active
Credentials
Entity Individual
Enumeration date 12/13/2006
Last updated 07/08/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA Medicaid 7099799
  • WA Other 463414001 GROUP HEALTH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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