Provider Demographics
NPI:1245338789
Name:HELEN K QUAN MD PS INC
Entity type:Organization
Organization Name:HELEN K QUAN MD PS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:KUAN
Authorized Official - Last Name:QUAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-937-1050
Mailing Address - Street 1:6517 35TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98126-3005
Mailing Address - Country:US
Mailing Address - Phone:206-937-1050
Mailing Address - Fax:206-937-9590
Practice Address - Street 1:6517 35TH AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98126-3005
Practice Address - Country:US
Practice Address - Phone:206-937-1050
Practice Address - Fax:206-937-9590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00019716208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
91943OtherFIRST CHOICE
WAQU4050OtherREGENCE BLUE SHIELD
4282309OtherAETNA
WA1067750Medicaid
WA63712OtherLABOR & INDUSTRIES
91943OtherFIRST CHOICE
WA63712OtherLABOR & INDUSTRIES