Organization
HOLISTIQUE HEALTH INSTITUTE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES WILLIAM COOPER II (ADMINISTRATOR)
(425) 748-8061
Entity
Organization
Contact information
Practice address
1200 116TH AVE NE STE B, BELLEVUE, WA 98004-3802
(425) 451-0404
Mailing address
1200 116TH AVE NE STE B, BELLEVUE, WA 98004-3802
(425) 451-0404
(833) 371-1483
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD60742836
WASHINGTON STATE LICENSE
WA
Enumeration date
08/03/2016
Last updated
11/03/2021
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