Healthcare Provider Details

I. General information

NPI: 1760513394
Provider Name (Legal Business Name): WILLIAM FOWLER WULSIN N.D., L.AC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

753 N 35TH ST SUITE 302
SEATTLE WA
98103-8870
US

IV. Provider business mailing address

753 N 35TH ST SUITE 302
SEATTLE WA
98103-8870
US

V. Phone/Fax

Practice location:
  • Phone: 206-632-0411
  • Fax:
Mailing address:
  • Phone: 206-632-0411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: