Healthcare Provider Details

I. General information

NPI: 1669851044
Provider Name (Legal Business Name): WAYPOINT HEALTH INNOVATIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2015
Last Update Date: 05/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3036 100TH AVE NE
BELLEVUE WA
98004-1957
US

IV. Provider business mailing address

PO BOX 191
MEDINA WA
98039-0191
US

V. Phone/Fax

Practice location:
  • Phone: 206-331-4510
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name: BRETT COLEMAN
Title or Position: PRESIDENT
Credential:
Phone: 206-331-4510