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WELLNESS ONE OF BELLEVUE NPI 1407074792


NPI Information

NPI: 1407074792
Provider Name: WELLNESS ONE OF BELLEVUE

Other Name: WELLNESS ONE OF EASTGATE

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
14700 NE 8TH ST
SUITE 115
BELLEVUE, WA
ZIP 98007
Phone: (425) 644-8386
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WELLNESS ONE OF BELLEVUE is a specialist in Bellevue, WA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. WELLNESS ONE OF BELLEVUE NPI is 1407074792. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Wellness One Of Eastgate.

The provider's business location address is:

14700 NE 8TH ST
SUITE 115
BELLEVUE, WA
ZIP 98007-115
Phone: (425) 644-8386
Fax: (425) 644-2560

The provider's authorized official is Steven P Thain .
The authorized official title is Owner and has the following contact phone number (425) 644-8386.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistMA00019552WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10217622OTHERWASHINGTONL AND I PROVIDER ACCOUNT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.