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RENOVO MEDICAL GROUP NPI 1801214481


NPI Information

NPI: 1801214481
Provider Name: RENOVO MEDICAL GROUP
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
19930 BALLINGER WAY NE
SHORELINE, WA
ZIP 98155
Phone: (425) 778-2220
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RENOVO MEDICAL GROUP is a specialist in Shoreline, WA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. RENOVO MEDICAL GROUP NPI is 1801214481. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

19930 BALLINGER WAY NE
SHORELINE, WA
ZIP 98155-223
Phone: (425) 778-2220

The provider's authorized official is Cheryl Hamill .
The authorized official title is Operations Manager and has the following contact phone number (425) 778-2220.

The enumeration date for this NPI number is 4/1/2014 and was last updated on 1/4/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.