Provider Demographics
NPI:1730854829
Name:SENIOR HEALTHCARE ASSOCIATES LLC
Entity type:Organization
Organization Name:SENIOR HEALTHCARE ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BOB
Authorized Official - Middle Name:
Authorized Official - Last Name:THONG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-659-7816
Mailing Address - Street 1:12819 SE 38TH ST # 270
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-1326
Mailing Address - Country:US
Mailing Address - Phone:360-218-2962
Mailing Address - Fax:888-518-4955
Practice Address - Street 1:4700 SW ADMIRAL WAY
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-2386
Practice Address - Country:US
Practice Address - Phone:360-218-2962
Practice Address - Fax:888-518-4955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-11
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine