Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northwest Cardiovascular

Organization Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1700902368

Northwest Cardiovascular is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Tacoma, Washington. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

1812 S J St Ste 210
Tacoma, WA 98405-4964
Phone: (253) 572-8777
Fax: (253) 572-8835
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X

Record details

NPI number1700902368
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glenda Medeen — Business Manager · (253) 572-8777
NPI enumeratedMarch 22, 2007
Last updated in NPPESDecember 17, 2007
Mailing address1812 S J St, Suite 210, Tacoma, WA 98405-4964

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