Healthcare Provider Details

I. General information

NPI: 1699910216
Provider Name (Legal Business Name): DEBORAH RENEE MAAHS L.AC., EAMP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2008
Last Update Date: 06/30/2020
Certification Date: 06/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 116TH AVE NE STE F
BELLEVUE WA
98004-3802
US

IV. Provider business mailing address

5932 185TH CT NE UNIT 102
REDMOND WA
98052-6057
US

V. Phone/Fax

Practice location:
  • Phone: 425-200-5656
  • Fax:
Mailing address:
  • Phone: 425-440-1357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC8890
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC60914199
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: