Provider Demographics
NPI:1548620693
Name:HIGHLANDS URGENT CARE PLLC
Entity type:Organization
Organization Name:HIGHLANDS URGENT CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:JIANPING
Authorized Official - Middle Name:
Authorized Official - Last Name:SUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-271-1255
Mailing Address - Street 1:4500 NE SUNSET BLVD
Mailing Address - Street 2:STE D
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98059-4054
Mailing Address - Country:US
Mailing Address - Phone:425-271-1255
Mailing Address - Fax:425-271-1256
Practice Address - Street 1:4500 NE SUNSET BLVD STE D
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98059-4054
Practice Address - Country:US
Practice Address - Phone:425-271-1255
Practice Address - Fax:425-271-1256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-02
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60103131261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care