Individual
MR. JOHN FORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.P.T.
Contact information
Practice address
12121 NORTHUP WAY, SUITE 203, BELLEVUE, WA 98005-1928
(425) 895-8436
(425) 895-8110
Mailing address
17414 NE 14TH ST, BELLEVUE, WA 98008-3105
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00009071
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0168404
LABOR AND INDUSTRY
WA
01
—
11362195
FIRST HEALTH
WA
01
—
3120217
AETNA (HMO, QPOS, US)
WA
01
—
7561142
AETNA (PPO, POS, EPO)
WA
05
—
8378671
—
WA
Enumeration date
12/06/2006
Last updated
07/08/2007
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