MEDICARE: HELEN K QUAN MD PS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	MD00019716	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	91943	OTHER		FIRST CHOICE
2	QU4050	OTHER	WA	REGENCE BLUE SHIELD
3	4282309	OTHER		AETNA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	63712	OTHER	WA	LABOR & INDUSTRIES

General Provider Information

NPI Number	:	1245338789
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELEN K QUAN MD PS INC

Provider Business Mailing Address
First Line	:	6517 35TH AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98126-3005
Country	:	US
Telephone Number	:	206-937-1050
Fax Number	:	206-937-9590

Provider Business Practice Location Address
First Line	:	6517 35TH AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98126-3005
Country	:	US
Telephone Number	:	206-937-1050
Fax Number	:	206-937-9590

Authorized Official
Title or Position	:	PHYSICIAN OWNER
Name	:	DR. HELEN KUAN QUAN
Credential	:	MD
Telephone Number	:	206-937-1050

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	02/15/2008

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Directions to “HELEN K QUAN MD PS INC ” Practice Location

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