Organization Active NPI

WJR Health LTD

  • Family Medicine Physician
  • Lacey, WA
National Provider Identifier
1811355696
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Apr 14, 2020

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.