Provider Demographics
NPI:1437912979
Name:VERA WHOLE HEALTH WA, PC
Entity Type:Organization
Organization Name:VERA WHOLE HEALTH WA, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSING ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:JANELL
Authorized Official - Middle Name:
Authorized Official - Last Name:HANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-395-6973
Mailing Address - Street 1:1201 2ND AVE
Mailing Address - Street 2:STE 1400
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-3020
Mailing Address - Country:US
Mailing Address - Phone:206-395-7870
Mailing Address - Fax:206-770-6159
Practice Address - Street 1:3815 S STEELE ST STE A
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98409-7311
Practice Address - Country:US
Practice Address - Phone:253-342-1502
Practice Address - Fax:253-276-5970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care