Provider Demographics
NPI:1295054849
Name:LIVING OAP, PLLC
Entity type:Organization
Organization Name:LIVING OAP, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:AARON
Authorized Official - Last Name:PASSEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:425-647-0482
Mailing Address - Street 1:7267 MARTIN WAY E
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98516-5534
Mailing Address - Country:US
Mailing Address - Phone:360-438-9609
Mailing Address - Fax:
Practice Address - Street 1:7267 MARTIN WAY E
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98516-5534
Practice Address - Country:US
Practice Address - Phone:360-438-9609
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-21
Last Update Date:2010-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034866111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty