Provider Demographics
NPI:1619224698
Name:TIGER HEALTH CLINIC
Entity type:Organization
Organization Name:TIGER HEALTH CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:SHU CHUEN
Authorized Official - Last Name:IP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-772-5773
Mailing Address - Street 1:11680 RENTON AVE S
Mailing Address - Street 2:PO BOX 78374
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98178-3044
Mailing Address - Country:US
Mailing Address - Phone:206-772-5773
Mailing Address - Fax:
Practice Address - Street 1:11680 RENTON AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98178-3044
Practice Address - Country:US
Practice Address - Phone:206-772-5773
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-09
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA600644801261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care