Swansons Wellness Clinic LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

604239064 Issued in WA

Legal business name

SWANSONS WELLNESS CLINIC LLC

Practice address

217 N Boone St
Aberdeen, WA 98520-7612

Phone

(360) 637-9263

Fax

(360) 637-8732

NPI assigned

Apr 9, 2018

Organization subpart

No

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

Authorized official

Name

Leeann Owlett

Title

Billing Manager

Phone

(360) 637-9263

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1801393681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1898",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985200315",
            "telephone_number": "360-637-9263",
            "fax_number": "360-637-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N BOONE ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985207612",
            "telephone_number": "360-637-9263",
            "fax_number": "360-637-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWANSONS WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "OWLETT",
        "authorized_official_first_name": "LEEANN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "360-637-9263"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "604239064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Sturgill, AAC
• Kirk A Sund, DDS
• Anthony Ray Surratt, DMD
• Swansons Food of Aberdeen Inc
• Swansons Walk-in Clinic LLC
• Erin Patricia Sweet
• Hong Tang
• Gwyn D Tarrance, LMP
• Jamie Lynell Taylor, P.T.A.
• Jodi Lynn Taylor

• Primary Care Clinic/Center in Aberdeen, WA
• Providers in Aberdeen, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.