MEDICARE: MS. SACHIKO NAKANO MAC LAC

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	242	WA
2	171100000X	Acupuncturist	WA242	WA

General Provider Information

NPI Number	:	1487668950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SACHIKO NAKANO MAC LAC

Provider Business Mailing Address
First Line	:	7217 S TAFT STREET
Second Line	:	ONE HEART HEALTHCARE LLC
City	:	SEATTLE
State	:	WA
Zip	:	98178-2627
Country	:	US
Telephone Number	:	206-579-7454
Fax Number	:	206-772-4703

Provider Business Practice Location Address
First Line	:	7217 S TAFT STREET
Second Line	:	ONE HEART HEALTHCARE LLC
City	:	SEATTLE
State	:	WA
Zip	:	98178-2627
Country	:	US
Telephone Number	:	206-579-7454
Fax Number	:	206-772-4703

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

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	12/04/2019

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