Provider Demographics
NPI:1497404602
Name:BALANCE OF OPPOSITES WELLNESS, P.S.
Entity Type:Organization
Organization Name:BALANCE OF OPPOSITES WELLNESS, P.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:206-719-5229
Mailing Address - Street 1:250 MARKET ST STE 102
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-4811
Mailing Address - Country:US
Mailing Address - Phone:206-719-5229
Mailing Address - Fax:425-968-5567
Practice Address - Street 1:250 MARKET ST STE 102
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-4811
Practice Address - Country:US
Practice Address - Phone:206-719-5229
Practice Address - Fax:425-968-5567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-23
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center