Provider Demographics
NPI:1922396159
Name:HAIR OPTIONS
Entity Type:Organization
Organization Name:HAIR OPTIONS
Other - Org Name:HAIR OPTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DARLA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:RUDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-789-9447
Mailing Address - Street 1:7106 GREENWOOD AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-5038
Mailing Address - Country:US
Mailing Address - Phone:206-789-9447
Mailing Address - Fax:
Practice Address - Street 1:7106 GREENWOOD AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-5038
Practice Address - Country:US
Practice Address - Phone:206-789-9447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-21
Last Update Date:2011-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier