Provider Demographics
NPI:1801026968
Name:WU HSING TAO SCHOOL
Entity type:Organization
Organization Name:WU HSING TAO SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DEAN
Authorized Official - Prefix:MR
Authorized Official - First Name:DIRK
Authorized Official - Middle Name:P
Authorized Official - Last Name:HEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MAC
Authorized Official - Phone:206-729-2598
Mailing Address - Street 1:4000 NE 41ST STREET
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105
Mailing Address - Country:US
Mailing Address - Phone:206-729-2598
Mailing Address - Fax:206-324-3825
Practice Address - Street 1:4000 NE 41ST STREET
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105
Practice Address - Country:US
Practice Address - Phone:206-729-2598
Practice Address - Fax:206-324-3825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-22
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA716198UBI602401000261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center