MEDICARE: MARK MACOMBER L.AC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	ACUP.AC.70023284	WA

General Provider Information

NPI Number	:	1013873066
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK MACOMBER L.AC.

Provider Business Mailing Address
First Line	:	1209 11TH ST STE 2
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-7000
Country	:	US
Telephone Number	:	541-337-3405
Fax Number	:

Provider Business Practice Location Address
First Line	:	1209 11TH ST STE 2
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-7000
Country	:	US
Telephone Number	:	541-337-3405
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2026
Last Update Date	:	01/02/2026

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