NPIMap

Organization Active NPI

Well Multidisciplinary Health Center

  • Chiropractor
  • Lynnwood, WA
National Provider Identifier
1336714476
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WELL MULTIDISCIPLINARY HEALTH CENTER
Practice address
16911 Highway 99 Ste 105
Lynnwood, WA 98037-3104
Phone
(425) 588-3838
Fax
(425) 588-3800
NPI assigned
May 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Haejo Roh Song, DCNPI 1982062030
Title
Dr
Phone
(206) 458-1105

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X

Addresses

Primary practice location

16911 Highway 99 Ste 105
Lynnwood, WA 98037-3104

Mailing address

16911 Highway 99 Ste 105
Lynnwood, WA 98037-3104
Phone (206) 458-1105

Other names 1

  • Lynnwood Trinity Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

15350 SE 37th St
Bellevue, WA 98006
Phone (206) 408-4861

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1336714476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16911 HIGHWAY 99 STE 105",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980373104",
            "telephone_number": "206-458-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16911 HIGHWAY 99 STE 105",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980373104",
            "telephone_number": "425-588-3838",
            "fax_number": "425-588-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL MULTIDISCIPLINARY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "HAEJO",
        "authorized_official_middle_name": "ROH",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "206-458-1105",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lynnwood Trinity Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.