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Wellness One Of Bellevue

Specialist in Bellevue, WA. Organization (NPI-2).

NPI number1407074792
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1407074792
Entity type
Organization (NPI-2)
Legal business name
Wellness One Of Bellevue
Organization subpart
No
Enumeration date
Apr 23, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X SpecialistMA00019552WAYes

Other names

  • Wellness One Of Eastgate (Other Name)

Practice location

14700 Ne 8th St
Suite 115
Bellevue, WA 98007-4115

Phone 425-644-8386 · Fax 425-644-2560

Mailing address

14700 Ne 8th St
Suite 115
Bellevue, WA 98007-4115

Phone 425-644-8386 · Fax 425-644-2560

Authorized official

Steven P Thain
Owner
4256448386

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