Healthcare Provider Details

I. General information

NPI: 1528906112
Provider Name (Legal Business Name): COMFORT MENTAL WELLNESS PLCC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9030 35TH AVENUE SW SUITE 100
SEATTLE WA
98126
US

IV. Provider business mailing address

9030 35TH AVENUE SW SUITE 100
SEATTLE WA
98126
US

V. Phone/Fax

Practice location:
  • Phone: 425-830-0039
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JEE YOUNG KO
Title or Position: CEO
Credential:
Phone: 425-830-0039