Provider Demographics
NPI:1922281419
Name:QUAN, HELEN KUAN (MD)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:KUAN
Last Name:QUAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6517 35TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98126-3005
Mailing Address - Country:US
Mailing Address - Phone:206-937-1050
Mailing Address - Fax:206-937-9590
Practice Address - Street 1:6517 35TH AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98126-3005
Practice Address - Country:US
Practice Address - Phone:206-937-1050
Practice Address - Fax:206-937-9590
Is Sole Proprietor?:No
Enumeration Date:2007-12-07
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00019716208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA63712OtherLABOR AND INDUSTRIES
4282309OtherAETNA
WA1067750Medicaid
91943OtherFIRST CHOICE
WAQU4050OtherREGENCE BLUESHIELD
WA63712OtherLABOR AND INDUSTRIES
WAQU4050OtherREGENCE BLUESHIELD