Healthcare Provider Details

I. General information

NPI: 1912101130
Provider Name (Legal Business Name): TREEHOUSE VENTURES NW, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2007
Last Update Date: 01/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2719 E MADISON ST STE 203
SEATTLE WA
98112
US

IV. Provider business mailing address

2719 E MADISON ST STE 203
SEATTLE WA
98112
US

V. Phone/Fax

Practice location:
  • Phone: 206-568-7545
  • Fax: 206-568-8298
Mailing address:
  • Phone: 206-568-7545
  • Fax: 206-568-8298

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License NumberCM00034169
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC00000770
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC00002658
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: LINDSEY JAY LAWSON
Title or Position: OWNER / CLINIC DIRECTOR
Credential: MS EAMP
Phone: 206-910-2709