Provider Demographics
NPI:1922785872
Name:LAINA, WINNIE
Entity Type:Individual
Prefix:MISS
First Name:WINNIE
Middle Name:
Last Name:LAINA
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:EVEREST
Other - Middle Name:
Other - Last Name:CHAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:409 S 23RD ST APT 830
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98402-2920
Mailing Address - Country:US
Mailing Address - Phone:253-432-0169
Mailing Address - Fax:
Practice Address - Street 1:2018 156TH AVE NE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-3825
Practice Address - Country:US
Practice Address - Phone:971-358-9812
Practice Address - Fax:206-299-7030
Is Sole Proprietor?:No
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician