Provider Demographics
NPI:1982223145
Name:HEALTHMATE, PLLC
Entity Type:Organization
Organization Name:HEALTHMATE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KAILYN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:206-788-6005
Mailing Address - Street 1:1502 25TH AVE S # A
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-3708
Mailing Address - Country:US
Mailing Address - Phone:206-788-6005
Mailing Address - Fax:
Practice Address - Street 1:11750 NE 118TH ST
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-7114
Practice Address - Country:US
Practice Address - Phone:425-587-3551
Practice Address - Fax:425-587-3463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-08
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Single Specialty