Provider Demographics
NPI:1992055826
Name:UNIVERSITY OF WASHINGTON MEDICAL CENTER
Entity type:Organization
Organization Name:UNIVERSITY OF WASHINGTON MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN2/ LACTATION CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:LOUISE
Authorized Official - Middle Name:M
Authorized Official - Last Name:PETERSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN, IBCLC
Authorized Official - Phone:206-598-4628
Mailing Address - Street 1:1959 NE PACIFIC ST
Mailing Address - Street 2:BOX 356079
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-6079
Mailing Address - Country:US
Mailing Address - Phone:206-598-4628
Mailing Address - Fax:
Practice Address - Street 1:1959 NE PACIFIC ST
Practice Address - Street 2:BOX 356079
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-6079
Practice Address - Country:US
Practice Address - Phone:206-598-4628
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-18
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital