Provider Demographics
NPI:1427004407
Name:HEALTHY FOCUS PS
Entity Type:Organization
Organization Name:HEALTHY FOCUS PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:DEPAUL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:360-671-2900
Mailing Address - Street 1:1400 KING ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98229-6262
Mailing Address - Country:US
Mailing Address - Phone:360-671-2900
Mailing Address - Fax:360-671-2828
Practice Address - Street 1:1400 KING ST
Practice Address - Street 2:SUITE 102
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98229-6262
Practice Address - Country:US
Practice Address - Phone:360-671-2900
Practice Address - Fax:360-671-2828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00002094174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7121247Medicaid
WAQ05631Medicare UPIN
WA7121247Medicaid