Provider Demographics
NPI:1710861414
Name:OPTIMUM PEAK WELLNESS PROFESSIONAL LIMITED LIABILITY COMPANY
Entity type:Organization
Organization Name:OPTIMUM PEAK WELLNESS PROFESSIONAL LIMITED LIABILITY COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:F
Authorized Official - Last Name:MARINKOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:425-899-2525
Mailing Address - Street 1:12270 134TH CT NE STE 160
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-7109
Mailing Address - Country:US
Mailing Address - Phone:425-236-5932
Mailing Address - Fax:
Practice Address - Street 1:12270 134TH CT NE STE 160
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-7109
Practice Address - Country:US
Practice Address - Phone:425-236-5932
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-05
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty