MEDICARE: COMFORT MENTAL WELLNESS PLCC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1528906112
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMFORT MENTAL WELLNESS PLCC

Provider Business Mailing Address
First Line	:	9030 35TH AVENUE SW SUITE 100
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98126
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9030 35TH AVENUE SW SUITE 100
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98126
Country	:	US
Telephone Number	:	425-830-0039
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JEE YOUNG KO
Credential	:
Telephone Number	:	425-830-0039

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

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