Provider Demographics
NPI:1891935870
Name:OSCARE HEALTH CENTER
Entity Type:Organization
Organization Name:OSCARE HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUK JAE
Authorized Official - Middle Name:
Authorized Official - Last Name:HUR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:425-743-1000
Mailing Address - Street 1:16521 13TH AVE W STE 105
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98037-8530
Mailing Address - Country:US
Mailing Address - Phone:425-743-1000
Mailing Address - Fax:425-743-2635
Practice Address - Street 1:16521 13TH AVE W STE 105
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98037-8530
Practice Address - Country:US
Practice Address - Phone:425-743-1000
Practice Address - Fax:425-743-2635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-03
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034559111N00000X
WAMA60002559225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty