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Contact Information

NORTHWEST PEDIATRIC OTOLARYNGOLOGY GROUP
6850 35TH AVE NE
SUITE 4
SEATTLE, WA98115-7344
 Phone: 206-525-0903
 Fax: 866-497-3901
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for NORTHWEST PEDIATRIC OTOLARYNGOLOGY GROUP

NPI # 1689607855
LBN Legal business name NORTHWEST PEDIATRIC OTOLARYNGOLOGY GROUP
Authorized official ANIFAT BALOGUN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/09/2006
Last updated 09/10/2012 - About 14 years ago
Identifiers
WA License # MD00039276
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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