Provider Demographics
NPI:1306984463
Name:NOORBAKHSH, NAVID (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NAVID
Middle Name:
Last Name:NOORBAKHSH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 NW 100TH PL APT 404
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98177-4954
Mailing Address - Country:US
Mailing Address - Phone:425-301-9274
Mailing Address - Fax:
Practice Address - Street 1:1205 NE 50TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-4406
Practice Address - Country:US
Practice Address - Phone:206-204-0145
Practice Address - Fax:206-204-0147
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00060815183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist