Organization Name: | ASTORIA WOMEN'S HEALTH LLC |
NPI Number: | 1578831459 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAREN MARIE PETERSON (PRACTICE DIRECTOR) |
Mailing Address: | 2055 Exchange St Suite 150 Astoria |
State: | OR US |
Postal Code: | 971033419 |
Phone Number: | 5033257800 |
Fax Number: | 5033254217 |
NPI Enumeration Date: | 12/07/2011 |
NPI Last Update Date: | 12/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD26767 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
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. |