MEDICARE: MRS. ELIZABETH P. OCHS REIKI RM

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1790937118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELIZABETH P. OCHS REIKI RM

Provider Business Mailing Address
First Line	:	7319 HERMOSA BEACH RD
Second Line	:
City	:	TULALIP
State	:	WA
Zip	:	98271-6106
Country	:	US
Telephone Number	:	425-327-5457
Fax Number	:

Provider Business Practice Location Address
First Line	:	7319 HERMOSA BEACH RD
Second Line	:
City	:	TULALIP
State	:	WA
Zip	:	98271-6106
Country	:	US
Telephone Number	:	425-327-5457
Fax Number	:

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

Provider Enumeration Date	:	10/16/2008
Last Update Date	:	10/16/2008

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