NPI | 1912515917 |
---|---|
Doing Business As | NORTHWEST PEDIATRIC CENTER |
Entity Type | Organization |
Authorized Contact | LISA G MCKAY Practice Manager 360-736-6778 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
101YM0800X Counselor, Mental Health | |
363LP0200X Nurse Practitioner, Pediatrics | |
Enumeration Date | 2020-07-16 |
Last Update Date | 2025-10-09 |