Active NPI
WJR Health LTD
- Family Medicine Physician
- Lacey, WA
National Provider Identifier
1811355696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- WJR HEALTH LTD
- Practice address
- 605 Woodland Square Loop SE
Lacey, WA 98503-1045 - Phone
- (312) 380-9455
- Fax
- (918) 803-0601
- NPI assigned
- Feb 8, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wilfred Leung, MD
- Title
- Owner
- Phone
- (312) 380-9455
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
605 Woodland Square Loop SE
Lacey, WA 98503-1045
Mailing address
6523 California Ave SW
Suite 200
Seattle, WA 98136-1833
Phone (307) 638-0300
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586822400000",
"number": "1811355696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6523 CALIFORNIA AVE SW",
"address_2": "SUITE 200",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981361833",
"telephone_number": "307-638-0300",
"fax_number": "307-638-0394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 WOODLAND SQUARE LOOP SE",
"city": "LACEY",
"state": "WA",
"postal_code": "985031045",
"telephone_number": "312-380-9455",
"fax_number": "918-803-0601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WJR HEALTH LTD",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-08",
"last_updated": "2020-04-14",
"certification_date": "2020-04-14",
"status": "A",
"authorized_official_last_name": "LEUNG",
"authorized_official_first_name": "WILFRED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "312-380-9455",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.