1538442520 NPI number — HELPING PROFESSIONALS WELLNESS CENTER

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 1538442520 NPI number — HELPING PROFESSIONALS WELLNESS CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HELPING PROFESSIONALS WELLNESS CENTER
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:
1538442520
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/14/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2401 W MAIN ST
Provider Second Line Business Mailing Address:
SUITE 205
Provider Business Mailing Address City Name:
BATTLE GROUND
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98604-4556
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-687-0693
Provider Business Mailing Address Fax Number:
360-666-8601

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5007 NE ST JOHNS RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VANCOUVER
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98661-2348
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-687-0693
Provider Business Practice Location Address Fax Number:
360-666-8601
Provider Enumeration Date:
09/26/2011

Additional Information

Authorized Official

Authorized Official Last Name:
WEST
Authorized Official First Name:
BROOKE
Authorized Official Middle Name:
Authorized Official Title or Position:
COO
Authorized Official Telephone Number:
360-687-0693

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  06154700 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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