Healthcare Provider Details
I. General information
NPI: 1124813118
Provider Name (Legal Business Name): ACUPUNCTURE AND NATURAL HEALING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/11/2025
Last Update Date: 04/18/2025
Certification Date: 04/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
18008 BOTHELL EVERETT HWY STE F
BOTHELL WA
98012-6842
US
IV. Provider business mailing address
3119 183RD ST SE
BOTHELL WA
98012-9349
US
V. Phone/Fax
- Phone: 872-888-3833
- Fax: 425-949-8082
- Phone: 872-888-3833
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JUN
WU
Title or Position: MANAGER
Credential: L.AC., EAMP
Phone: 872-888-3833