Healthcare Provider Details

I. General information

NPI: 1750691085
Provider Name (Legal Business Name): SUK YI HUR ACUPUNCTURIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SUK YI HUR OMD

II. Dates (important events)

Enumeration Date: 10/20/2010
Last Update Date: 10/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14042 NE 8TH ST SUITE 104
BELLEVUE WA
98007-4142
US

IV. Provider business mailing address

1623 KILLARNEY WAY
BELLEVUE WA
98004-7050
US

V. Phone/Fax

Practice location:
  • Phone: 714-726-6009
  • Fax:
Mailing address:
  • Phone: 714-726-6009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC00003088
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: