Provider Demographics
NPI:1952070823
Name:VERA WHOLE HEALTH WA PC
Entity Type:Organization
Organization Name:VERA WHOLE HEALTH WA PC
Other - Org Name:VERA WHOLE HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSING ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:HIRSCHFELDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-395-6973
Mailing Address - Street 1:1201 2ND AVE STE 1400
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-3020
Mailing Address - Country:US
Mailing Address - Phone:206-395-7870
Mailing Address - Fax:206-770-6159
Practice Address - Street 1:399 FARMINGTON AVE STE 270
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-1979
Practice Address - Country:US
Practice Address - Phone:860-863-4800
Practice Address - Fax:860-499-5476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-13
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care