Provider Demographics
NPI:1215054275
Name:CENTER FOR WOMEN'S HEALTH P C
Entity type:Organization
Organization Name:CENTER FOR WOMEN'S HEALTH P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:A
Authorized Official - Last Name:TAGGART
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:206-246-2291
Mailing Address - Street 1:16122 8TH AVE SW
Mailing Address - Street 2:SUITE E 1
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98166-2967
Mailing Address - Country:US
Mailing Address - Phone:206-246-2291
Mailing Address - Fax:206-246-2421
Practice Address - Street 1:16122 8TH AVE SW
Practice Address - Street 2:SUITE E 1
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-2967
Practice Address - Country:US
Practice Address - Phone:206-246-2291
Practice Address - Fax:206-246-2421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30003281363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAB32087Medicare PIN