| Northwest Aba | |
|
2319 N 45th St Ste 313 Seattle WA 98103-6979 | |
| (206) 313-8840 | |
| Not Available |
| Full Name | Northwest Aba |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2319 N 45th St Ste 313, Seattle, Washington |
| Authorized Official Name and Position | Takanori Koyama (OWNER) |
| Authorized Official Contact | 2063138840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Aba 4516 Ne 94th St Seattle WA 98115-3933 Ph: (206) 226-1472 | Northwest Aba 2319 N 45th St Ste 313 Seattle WA 98103-6979 Ph: (206) 313-8840 |
| NPI Number | 1790114593 |
|---|---|
| Provider Enumeration Date | 11/02/2013 |
| Last Update Date | 11/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790114593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 027 (* (Not Available)) | Primary |
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