NW Medical LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

NW MEDICAL LLC

Practice address

103 Main Ave S Ste 205
North Bend, WA 98045-8197

Phone

(425) 954-6538

Fax

(425) 880-3983

NPI assigned

Mar 19, 2019

Organization subpart

No

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

Authorized official

Name

Matthew J Dunn, ARNPNPI 1952545048

Title

Ceo

Phone

(425) 954-6538

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew James Dunn, ARNP, DC

  • Family Nurse Practitioner
  • North Bend, WA
  • NPI 1952545048

  Chiropractor

  Medicare reassignment NPD Authorized official
• Braden Carl Andersen, DNP, MBA, ARNP

  • Family Medicine Physician
  • Lynnwood, WA
  • NPI 1598292120

  Multi-Specialty

  NPD
• Christopher Brooks

  • Student in an Organized Health Care Education/Training Program
  • North Bend, WA
  • NPI 1083562912
  NPD (past)

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700697600000",
    "number": "1497214399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MAIN AVE S STE 205",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980458197",
            "telephone_number": "425-954-6538",
            "fax_number": "425-880-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MAIN AVE S STE 205",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980458197",
            "telephone_number": "425-954-6538",
            "fax_number": "425-880-3983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Lake Bellevue Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980052480",
            "country_code": "US",
            "telephone_number": "425-954-6538",
            "fax_number": "425-880-3983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NW MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-19",
        "last_updated": "2023-11-23",
        "certification_date": "2023-11-23",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "425-954-6538",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Bend Anesthesia Billing, LLC
• North Bend Chiropractic and Golf Fitness Center PLLC
• North Bend Dental Care LLC
• North Bend Pediatric Dentistry, LLC
• North Bend Therapeutic Massage
• Crystal L O'Brien, CMA, LMP
• Tracy A Oban Bear, PTA
• Patrick Howard Odonnell, DDS
• Eric J Opsvig, D.D.S.
• Frankie Eugene Orr, LMP

• Family Nurse Practitioner in North Bend, WA
• Providers in North Bend, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.