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SE WON MIN
NPI 1720646771
Nurse Practitioner - Psychiatric/Mental Health in Bellevue, WA

Active since June 04, 2019
4060 138TH AVE SE, BELLEVUE, WA 98006(425) 636-0304 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 7, 2021, Jul 7, 2020, Sep 25, 2019 and 1 more (4 updates tracked since 2019).

About Se Won Min NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SE WON MIN (NPI 1720646771) is an individual psychiatric/mental health provider in Bellevue, Washington, licensed in Washington (AP60909295) and active in the NPI registry since June 2019. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1720646771
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSE WON MIN
Location Address4060 138TH AVE SEBellevue, WA 98006-1431
Mailing Address4060 138th Ave SeBellevue, WA 98006-1431 · (425) 636-0304
Phone(425) 636-0304
Sole ProprietorNo
Enumeration DateJune 4, 2019
Last NPPES UpdateJanuary 7, 20214 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2021
✔ NPI 1720646771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WA · AP60909295
4060 138TH AVE SE, Bellevue, WA 98006
Open in Google Maps ↗

Secondary Practice Locations 3

Location 16545 SE Cougar Mountain WayBellevue, WA 98006-5616 · Phone (425) 681-6653
Location 27424 Bridgeport Way W Ste 302Lakewood, WA 98499 · Phone (253) 581-6106
Location 39116 Gravelly Lake Dr SW Ste 107Lakewood, WA 98499-3148 · Phone (253) 581-6106

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HANMIN CORPORATION
Clinic/Center (Mental Health (Including Community Mental Health Center))
4060 138TH AVE SE
BELLEVUE, WA 98006
King County (425) 636-0304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Se Won Min's NPI number?

The NPI number for Se Won Min is 1720646771. It was assigned to this individual provider in the NPPES registry on June 4, 2019.

Where is Se Won Min located?

Se Won Min practices at 4060 138th Ave SE, Bellevue, WA 98006. The listed phone number is (425) 636-0304.

What is Se Won Min's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Se Won Min accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Se Won Min as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Se Won Min was last updated on January 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.