Healthcare Provider Details

I. General information

NPI: 1225189459
Provider Name (Legal Business Name): SILVER NEEDLE ACUPUNCTURE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7631 212TH ST SW SUITE C, #111
EDMONDS WA
98026-7565
US

IV. Provider business mailing address

7631 212TH ST SW SUITE C, #111
EDMONDS WA
98026-7565
US

V. Phone/Fax

Practice location:
  • Phone: 425-712-3119
  • Fax: 425-712-3119
Mailing address:
  • Phone: 425-712-3119
  • Fax: 425-712-3119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC00000369
License Number StateWA

VIII. Authorized Official

Name: MRS. TONG LU
Title or Position: OWNER, ACUPUNCTURIST
Credential: L. AC.
Phone: 425-712-3119