| Pacific Northwest Endocrinology Pllc | |
|
1201 2nd Ave Ste 900 Seattle WA 98101-3020 | |
| (415) 851-5674 | |
| (209) 290-3358 |
| Full Name | Pacific Northwest Endocrinology Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1201 2nd Ave Ste 900, Seattle, Washington |
| Authorized Official Name and Position | Lori A Cooper (PRESIDENT) |
| Authorized Official Contact | 4158515674 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Northwest Endocrinology Pllc 5056 Beach Dr Sw Seattle WA 98136-1040 Ph: (415) 851-5674 | Pacific Northwest Endocrinology Pllc 1201 2nd Ave Ste 900 Seattle WA 98101-3020 Ph: (415) 851-5674 |
| NPI Number | 1588350565 |
|---|---|
| Provider Enumeration Date | 04/13/2023 |
| Last Update Date | 04/13/2023 |
| Medicare PECOS PAC ID | 9830550995 |
|---|---|
| Medicare Enrollment ID | O20230804002861 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588350565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Lori A Cooper |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1497078091 PECOS PAC ID: 0042344079 Enrollment ID: I20140728002621 |
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