Provider Demographics
NPI:1700329745
Name:EASTWEST MEDICAL ARTS
Entity type:Organization
Organization Name:EASTWEST MEDICAL ARTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LEE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROBERTSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-257-7924
Mailing Address - Street 1:901 BOREN AVENUE
Mailing Address - Street 2:SUITE 1700
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-3549
Mailing Address - Country:US
Mailing Address - Phone:206-257-7924
Mailing Address - Fax:206-508-9092
Practice Address - Street 1:901 BOREN AVENUE
Practice Address - Street 2:SUITE 1700
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-3549
Practice Address - Country:US
Practice Address - Phone:206-257-7924
Practice Address - Fax:206-508-9092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-23
Last Update Date:2016-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP602385472081N0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081N0008XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationNeuromuscular MedicineGroup - Multi-Specialty