Healthcare Provider Details

I. General information

NPI: 1902711963
Provider Name (Legal Business Name): KORE WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14575 NE BEL RED RD STE 100
BELLEVUE WA
98007-3908
US

IV. Provider business mailing address

2500 81ST AVE SE APT 117
MERCER ISLAND WA
98040-2249
US

V. Phone/Fax

Practice location:
  • Phone: 425-818-0979
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: JINWON LEE
Title or Position: OWNER
Credential: EAMP
Phone: 949-302-3841