Healthcare Provider Details

I. General information

NPI: 1518093244
Provider Name (Legal Business Name): MAURA ANN SCANLAN N.D, L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2320 130TH AVE NE STE 130
BELLEVUE WA
98005-1769
US

IV. Provider business mailing address

59 PETER SPRING RD
CONCORD MA
01742-1929
US

V. Phone/Fax

Practice location:
  • Phone: 425-270-3047
  • Fax: 425-657-0269
Mailing address:
  • Phone: 425-591-3797
  • Fax: 425-657-0269

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT1008
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number721
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: