Provider Demographics
NPI:1306873757
Name:NORTHWEST FAMILY CARE CENTER
Entity type:Organization
Organization Name:NORTHWEST FAMILY CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:CALL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-524-0033
Mailing Address - Street 1:9776 HOLMAN RD NW STE 102
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98117-2000
Mailing Address - Country:US
Mailing Address - Phone:206-524-0033
Mailing Address - Fax:206-524-0035
Practice Address - Street 1:9776 HOLMAN RD NW STE 102
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98117-2000
Practice Address - Country:US
Practice Address - Phone:206-524-0033
Practice Address - Fax:206-524-0035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty