Organization Name: | NORTH WEST ASTHMA ALLERGY CENTER |
NPI Number: | 1508049917 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KURA K RUSSELL (MA) |
Mailing Address: | 8614 E Mill Plain Blvd Ste 300 Vancouver |
State: | WA US |
Postal Code: | 986642058 |
Phone Number: | 3608962222 |
Fax Number: | 3608968881 |
NPI Enumeration Date: | 12/07/2007 |
NPI Last Update Date: | 11/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD00042579 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |