| Nw Monitoring, Llc | |
|
9333 Martin Way E, Suite 214 Olympia WA 98516 | |
| (360) 539-8487 | |
| (360) 358-9944 |
| Full Name | Nw Monitoring, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9333 Martin Way E, Suite 214, Olympia, Washington |
| Authorized Official Name and Position | Virginia Dale (OWNER) |
| Authorized Official Contact | 3605398487 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nw Monitoring, Llc Po Box 760 Fox Island WA 98333 Ph: (360) 539-8487 | Nw Monitoring, Llc 9333 Martin Way E, Suite 214 Olympia WA 98516 Ph: (360) 539-8487 |
| NPI Number | 1679724827 |
|---|---|
| Provider Enumeration Date | 10/07/2008 |
| Last Update Date | 04/04/2023 |
| Certification Date | 04/04/2023 |
| Medicare PECOS PAC ID | 4385829852 |
|---|---|
| Medicare Enrollment ID | O20110427000153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679724827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 246ZE0600X | Specialist/technologist, Other - Electroneurodiagnostic | (* (Not Available)) | Secondary |
| Provider Name | George Rozier Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962434233 PECOS PAC ID: 7517919723 Enrollment ID: I20050216000425 |
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