Healthcare Provider Details

I. General information

NPI: 1477979847
Provider Name (Legal Business Name): SCOTT SCHORER, L.AC., EAMP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2014
Last Update Date: 03/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11821 NE 128TH ST SUITE H
KIRKLAND WA
98034-7210
US

IV. Provider business mailing address

16902 12TH PL NE
SHORELINE WA
98155-5914
US

V. Phone/Fax

Practice location:
  • Phone: 206-618-6549
  • Fax:
Mailing address:
  • Phone: 206-334-4796
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC60184521
License Number StateWA

VIII. Authorized Official

Name: SCOTT CHRISTOPHER SCHORER
Title or Position: LICENSED ACUPUNCTURIST
Credential: L.AC., EAMP
Phone: 206-334-4796