Provider Demographics
NPI:1295523082
Name:WHOLE PERSON CARE PLLC
Entity type:Organization
Organization Name:WHOLE PERSON CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MOMOHARA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-880-3224
Mailing Address - Street 1:PO BOX 83
Mailing Address - Street 2:
Mailing Address - City:MUKILTEO
Mailing Address - State:WA
Mailing Address - Zip Code:98275-0083
Mailing Address - Country:US
Mailing Address - Phone:206-880-3224
Mailing Address - Fax:
Practice Address - Street 1:12911 BEVERLY PARK RD
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98087-5127
Practice Address - Country:US
Practice Address - Phone:206-880-3224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty