MEDICARE: VINCENT HSUAN-HAO LUOH ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer

General Provider Information

NPI Number	:	1205752508
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VINCENT HSUAN-HAO LUOH ATC

Provider Business Mailing Address
First Line	:	200 E MAPLE ST APT 408
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-5171
Country	:	US
Telephone Number	:	541-914-8387
Fax Number	:

Provider Business Practice Location Address
First Line	:	516 HIGH ST
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-5946
Country	:	US
Telephone Number	:	541-914-8387
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2026
Last Update Date	:	06/29/2026

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