Organization
BALLARD WELLNESS CLINIC
Active
Organization
BALLARD WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID NAKATA (OWNER)
(206) 782-3080
Entity
Organization
Contact information
Practice address
6204 8TH AVE NW, SEATTLE, WA 98107-2270
(206) 782-3080
Mailing address
6204 8TH AVE NW, SEATTLE, WA 98107-2270
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0168916
L&I
WA
Enumeration date
07/17/2007
Last updated
07/17/2007
Update your record
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