MEDICARE: MS. JANET RAY MICHEL EAMP

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	AC00001975	WA

General Provider Information

NPI Number	:	1568710648
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANET RAY MICHEL EAMP

Provider Business Mailing Address
First Line	:	6718 22ND AVE NW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98117-5726
Country	:	US
Telephone Number	:	206-310-3272
Fax Number	:	206-781-9003

Provider Business Practice Location Address
First Line	:	6717 GREENWOOD AVE N
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-5225
Country	:	US
Telephone Number	:	206-310-3272
Fax Number	:	206-781-9003

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

Provider Enumeration Date	:	08/21/2012
Last Update Date	:	08/21/2012

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