Provider Demographics
NPI:1821290867
Name:EAST-WEST WELLNESS, INC.
Entity Type:Organization
Organization Name:EAST-WEST WELLNESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:S
Authorized Official - Last Name:YANO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:206-528-2954
Mailing Address - Street 1:8250 LATONA AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-4055
Mailing Address - Country:US
Mailing Address - Phone:206-528-2954
Mailing Address - Fax:206-522-4749
Practice Address - Street 1:8250 LATONA AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-4055
Practice Address - Country:US
Practice Address - Phone:206-528-2954
Practice Address - Fax:206-522-4749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA3648261Q00000X
WAPT5158261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Not Answered261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0212255OtherLABOR & INDUSTRIES