Organization
HUMAN FUNCTION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IAN JOHNSEN PT (OWNER/OPERATOR)
(206) 734-9033
Entity
Organization
Contact information
Practice address
2110 116TH AVE NE, SUITE D., BELLEVUE, WA 98004-3040
(206) 734-9033
(425) 451-0655
Mailing address
PO BOX 78193, SEATTLE, WA 98178-0193
(206) 734-9033
(206) 774-8751
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT00009108
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0212158
LABOR & INDUSTRY
WA
Enumeration date
09/19/2007
Last updated
11/30/2011
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