| Noahna Wellness, Pllc | |
|
2105 112th Ave Ne Ste 201 Bellevue WA 98004-2945 | |
| (425) 968-5948 | |
| Not Available |
| Full Name | Noahna Wellness, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2105 112th Ave Ne Ste 201, Bellevue, Washington |
| Authorized Official Name and Position | Jong Seok Oh (OWNER) |
| Authorized Official Contact | 4257700190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Noahna Wellness, Pllc 5439 S 150th St Tukwila WA 98188-2404 Ph: (425) 770-0190 | Noahna Wellness, Pllc 2105 112th Ave Ne Ste 201 Bellevue WA 98004-2945 Ph: (425) 968-5948 |
| NPI Number | 1245928167 |
|---|---|
| Provider Enumeration Date | 04/27/2023 |
| Last Update Date | 04/27/2023 |
| Certification Date | 04/27/2023 |
| Medicare PECOS PAC ID | 4183073810 |
|---|---|
| Medicare Enrollment ID | O20231206004319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245928167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jong S Oh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801433131 PECOS PAC ID: 0345635876 Enrollment ID: I20220321001476 |
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