Healthcare Provider Details

I. General information

NPI: 1770622078
Provider Name (Legal Business Name): ARA J OLUFSON L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3670 STONE WAY N
SEATTLE WA
98103-8004
US

IV. Provider business mailing address

PO BOX 34936 DEPT 1025
SEATTLE WA
98124-1936
US

V. Phone/Fax

Practice location:
  • Phone: 206-834-4100
  • Fax:
Mailing address:
  • Phone: 206-834-4183
  • Fax: 206-834-4131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC00002982
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSC61572485
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: