| Organization Name: | N W PEDIATRIC CENTER, INC. P.S. |
| NPI Number: | 1194091637 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LISA GAIL MCKAY (PRACTICE MANAGER) |
| Mailing Address: | 18313 Paulson St Sw Rochester |
| State: | WA US |
| Postal Code: | 985799262 |
| Phone Number: | 3607366778 |
| Fax Number: | 3607366552 |
| NPI Enumeration Date: | 03/29/2012 |
| NPI Last Update Date: | 07/31/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | D160180464 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |