Provider Demographics
NPI:1134256803
Name:HWANG, PAUL WOOK
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:WOOK
Last Name:HWANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 140TH AVE NE STE 204
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-4500
Mailing Address - Country:US
Mailing Address - Phone:425-505-2637
Mailing Address - Fax:425-649-2170
Practice Address - Street 1:1550 140TH AVE NE STE 204
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-4500
Practice Address - Country:US
Practice Address - Phone:425-505-2637
Practice Address - Fax:425-505-2660
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00003441111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor