Healthcare Provider Details

I. General information

NPI: 1306007976
Provider Name (Legal Business Name): EASY ACCESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2008
Last Update Date: 06/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14040 NE 8TH ST SUITE 200
BELLEVUE WA
98007-4122
US

IV. Provider business mailing address

14040 NE 8TH ST SUITE 200
BELLEVUE WA
98007-4122
US

V. Phone/Fax

Practice location:
  • Phone: 425-378-0600
  • Fax: 425-378-0601
Mailing address:
  • Phone: 425-378-0600
  • Fax: 425-378-0601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number602518273
License Number StateWA

VIII. Authorized Official

Name: GIAO-LINH DANG
Title or Position: OFFICE MANAGER
Credential:
Phone: 425-378-0600