Provider Demographics
NPI:1689603920
Name:OH, ALEXANDER K (DC)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:K
Last Name:OH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14670 NE 8TH ST
Mailing Address - Street 2:SUITE 215
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-4127
Mailing Address - Country:US
Mailing Address - Phone:425-746-7045
Mailing Address - Fax:425-746-7741
Practice Address - Street 1:14670 NE 8TH ST
Practice Address - Street 2:SUITE 215
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-4127
Practice Address - Country:US
Practice Address - Phone:425-746-7045
Practice Address - Fax:425-746-7741
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00003151111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAOH5926Medicare UPIN
WAGAB00009Medicare PIN
WA116959Medicare UPIN