Provider Demographics
NPI:1275105728
Name:SOUND WEIGHT AND WELLNESS PLLC
Entity Type:Organization
Organization Name:SOUND WEIGHT AND WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MICHAELSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:425-224-8200
Mailing Address - Street 1:125 130TH ST SE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-6401
Mailing Address - Country:US
Mailing Address - Phone:425-224-8200
Mailing Address - Fax:425-224-8299
Practice Address - Street 1:125 130TH ST SE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-6401
Practice Address - Country:US
Practice Address - Phone:425-224-8200
Practice Address - Fax:425-224-8299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-14
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RB0002XAllopathic & Osteopathic PhysiciansInternal MedicineObesity MedicineGroup - Single Specialty