Healthcare Provider Details

I. General information

NPI: 1609043348
Provider Name (Legal Business Name): WELLNESSCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2008
Last Update Date: 06/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 SW 41ST ST SUITE J
RENTON WA
98057-4974
US

IV. Provider business mailing address

101 SW 41ST ST SUITE J
RENTON WA
98057-4974
US

V. Phone/Fax

Practice location:
  • Phone: 425-738-5197
  • Fax: 425-738-0826
Mailing address:
  • Phone: 425-738-5197
  • Fax: 425-738-0826

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH00034458
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC00002664
License Number StateWA

VIII. Authorized Official

Name: DR. WEN-PIN HOU
Title or Position: PRESIDENT
Credential: D.C.
Phone: 425-738-5197