MEDICARE: DR. SHARON ADENA LAC DAOM

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	16193	CA
2	171100000X	Acupuncturist	61240714	WA

General Provider Information

NPI Number	:	1356731582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHARON ADENA LAC DAOM

Provider Business Mailing Address
First Line	:	1209 11TH ST STE 2
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-7000
Country	:	US
Telephone Number	:	206-227-4220
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	:	206-227-4220
Fax Number	:

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

Provider Enumeration Date	:	01/26/2015
Last Update Date	:	12/11/2022

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