Provider Demographics
NPI:1093551228
Name:LOTUS WHISPER PLLC
Entity type:Organization
Organization Name:LOTUS WHISPER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLEAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:206-371-0595
Mailing Address - Street 1:PO BOX 202
Mailing Address - Street 2:
Mailing Address - City:HOBART
Mailing Address - State:WA
Mailing Address - Zip Code:98025-0202
Mailing Address - Country:US
Mailing Address - Phone:206-635-3320
Mailing Address - Fax:206-231-5069
Practice Address - Street 1:5902 CALIFORNIA AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98136-1650
Practice Address - Country:US
Practice Address - Phone:206-635-3320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)