Pacific Medical West PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PACIFIC MEDICAL WEST PLLC

Practice address

643 Strander Blvd
Tukwila, WA 98188-2922

Phone

(425) 654-0887

NPI assigned

Aug 9, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jill Zhou

Title

Managing Director

Phone

(425) 654-0887

Specialties & licenses 1

Addresses

Other names 1

• Pacific West Diagnostic Imaging Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1306510771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2603",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980270119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 STRANDER BLVD",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882922",
            "telephone_number": "425-654-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC MEDICAL WEST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "ZHOU",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "425-654-0887"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific West Diagnostic Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miski B Osman
• Yusuf Osman
• Marlene B Osorio Lara
• Nina Paasche
• Pac Highway Chiropractic
• Pacific West Diagnostic Imaging
• Cory Padilla
• Lisha Sachiko Kehaulani Padilla
• Padmaraj V. Angolkar D.D.S., M.D.S.
• Kyle Paget

• Clinic/Center in Tukwila, WA
• Providers in Tukwila, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.