Provider Demographics
NPI:1063519031
Name:MILL CREEK WOMEN'S HEALTHCARE, PLLC
Entity type:Organization
Organization Name:MILL CREEK WOMEN'S HEALTHCARE, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ORLY
Authorized Official - Middle Name:PNINA
Authorized Official - Last Name:STEINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:425-673-3420
Mailing Address - Street 1:8513 NE HAZEL DELL AVE
Mailing Address - Street 2:SUITE #102
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98665-8068
Mailing Address - Country:US
Mailing Address - Phone:360-450-3926
Mailing Address - Fax:360-450-3926
Practice Address - Street 1:15808 MILL CREEK BLVD
Practice Address - Street 2:SUITE #200
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012-1500
Practice Address - Country:US
Practice Address - Phone:425-673-3420
Practice Address - Fax:425-673-3423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2019-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207V00000X
WAMD00038311174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty