1528808599 NPI number — VERA WHOLE HEALTH WA, PC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528808599 NPI number — VERA WHOLE HEALTH WA, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VERA WHOLE HEALTH WA, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528808599
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/28/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1201 2ND AVE STE 1400
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SEATTLE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98101-3039
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-395-6973
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
400 SW 6TH AVE STE 501
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PORTLAND
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97204-1605
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
971-940-7170
Provider Business Practice Location Address Fax Number:
206-770-6159
Provider Enumeration Date:
05/28/2024

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HIRSCHFELDER
Authorized Official First Name:
MELISSA
Authorized Official Middle Name:
Authorized Official Title or Position:
LEGAL ASSISTANT & LICENSING ANALYST
Authorized Official Telephone Number:
206-395-7870

Provider Taxonomy Codes

  • Taxonomy code: 261QP2300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)