MEDICARE: AGELESS ACUPUNCTURE LLC

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	AC60114166	WA

General Provider Information

NPI Number	:	1659883247
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AGELESS ACUPUNCTURE LLC

Provider Business Mailing Address
First Line	:	1515 1ST AVE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98101-1523
Country	:	US
Telephone Number	:	206-903-1888
Fax Number	:	206-903-1893

Provider Business Practice Location Address
First Line	:	1515 1ST AVE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98101-1523
Country	:	US
Telephone Number	:	206-903-1888
Fax Number	:	206-903-1893

Authorized Official
Title or Position	:	OWNER
Name	:	MARIA PORTNAYA
Credential	:	LAC
Telephone Number	:	206-903-1888

Provider Enumeration Date	:	11/03/2017
Last Update Date	:	11/03/2017

Similar Medicare Providers

1649485632 — SCOTT L. FERRY L.AC.
Practice Location Address:

1515 1ST AVE
SEATTLE, WA
98101-1523

Practice Phone: 206-419-7147
Practice Fax:

1306087325 — ANTHEA COLOSSIO L.AC.
Practice Location Address:

1515 1ST AVE
SEATTLE, WA
98101-1523

Practice Phone: 206-979-4372
Practice Fax:

1871827824 — MARIA PORTNAYA L.AC
Practice Location Address:

1515 1ST AVE
SEATTLE, WA
98101-1523

Practice Phone: 206-903-1888
Practice Fax: 206-903-1893

1649033549 — COLETTE ALYSE MARIEN L.AC, EAMP
Practice Location Address:

1515 1ST AVE
SEATTLE, WA
98101-1523

Practice Phone: 206-903-1888
Practice Fax:

1336125798 — DR. NAMOU KIM MD
Practice Location Address:

1221 MADISON ST STE 1523
SEATTLE, WA
98104-1342

Practice Phone: 206-292-6464
Practice Fax: 206-292-6498

1518943646 — DR. JOSEPH CHRISTOPHER SNIEZEK M.D. FACS
Practice Location Address:

1221 MADISON ST , SUITE 1523
SEATTLE, WA
98104-3588

Practice Phone: 206-292-6464
Practice Fax: 206-292-6498

Directions to “AGELESS ACUPUNCTURE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.