Healthcare Provider Details

I. General information

NPI: 1235200361
Provider Name (Legal Business Name): GUOHUI LIU L.AC.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/11/2006
Last Update Date: 02/15/2024
Certification Date: 02/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 140TH AVE NE STE 100
BELLEVUE WA
98005-4579
US

IV. Provider business mailing address

4415 145TH AVE NE APT H8
BELLEVUE WA
98007-7112
US

V. Phone/Fax

Practice location:
  • Phone: 425-502-9256
  • Fax:
Mailing address:
  • Phone: 503-997-5324
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number61361433
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: