Basic Information
Provider Information
NPI: 1508155284
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TORVIE
FirstName: ANA
MiddleName: JORGENSON
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1101 MADISON ST
Address2: SUITE 1150
City: SEATTLE
State: WA
PostalCode: 981041306
CountryCode: US
TelephoneNumber: 2063863400
FaxNumber: 2063863411
Practice Location
Address1: 1101 MADISON ST
Address2: SUITE 1150
City: SEATTLE
State: WA
PostalCode: 981041306
CountryCode: US
TelephoneNumber: 2063863400
FaxNumber: 2063863411
Other Information
ProviderEnumerationDate: 04/01/2011
LastUpdateDate: 10/12/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XMD60575475WAY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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