Healthcare Provider Details

I. General information

NPI: 1700584919
Provider Name (Legal Business Name): JAMIE ESPELAND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2023
Last Update Date: 02/16/2023
Certification Date: 02/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18205 ALDERWOOD MALL PKWY STE A SUITE 404
LYNNWOOD WA
98037
US

IV. Provider business mailing address

3504 FENDER DR
LYNNWOOD WA
98087-5223
US

V. Phone/Fax

Practice location:
  • Phone: 425-231-5780
  • Fax:
Mailing address:
  • Phone: 425-231-5780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: