Provider Demographics
NPI:1194876888
Name:NORTHWEST OUTPATIENT ANESTHESIA PLLC
Entity type:Organization
Organization Name:NORTHWEST OUTPATIENT ANESTHESIA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNAMARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCHIONNE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:425-318-6038
Mailing Address - Street 1:12815 344TH WAY NE
Mailing Address - Street 2:
Mailing Address - City:CARNATION
Mailing Address - State:WA
Mailing Address - Zip Code:98014-8100
Mailing Address - Country:US
Mailing Address - Phone:425-318-6038
Mailing Address - Fax:206-257-3063
Practice Address - Street 1:1900 116TH AVE NE STE 100
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005
Practice Address - Country:US
Practice Address - Phone:206-271-3379
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0218796OtherLABOR AND INDUSTRIED
WA8274938Medicaid