Healthcare Provider Details

I. General information

NPI: 1043736036
Provider Name (Legal Business Name): IMANI OWENS-BAILEY ND, EAMP, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2017
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3410 CLAREMONT AVE S
SEATTLE WA
98144-6815
US

IV. Provider business mailing address

3410 CLAREMONT AVE S
SEATTLE WA
98144-6815
US

V. Phone/Fax

Practice location:
  • Phone: 206-725-0747
  • Fax:
Mailing address:
  • Phone: 202-415-2717
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC60736407
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT60905869
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: