Provider Demographics
NPI:1497787196
Name:HO, JAMES P (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:P
Last Name:HO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3925 159TH AVE NE
Mailing Address - Street 2:LIVING WELL HEALTH CENTER
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-6309
Mailing Address - Country:US
Mailing Address - Phone:425-216-0550
Mailing Address - Fax:425-216-0551
Practice Address - Street 1:3925 159TH AVE NE
Practice Address - Street 2:LIVING WELL HEALTH CENTER
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-6309
Practice Address - Country:US
Practice Address - Phone:425-216-0550
Practice Address - Fax:425-216-0551
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2013-03-18
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Provider Licenses
StateLicense IDTaxonomies
WAMD00028005207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8145112Medicaid
WAD07738Medicare UPIN