Healthcare Provider Details

I. General information

NPI: 1790699015
Provider Name (Legal Business Name): DAVID HANGOO LEE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DAVID HANGOO CHANG

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 E JEFFERSON ST STE 603
SEATTLE WA
98122-5649
US

IV. Provider business mailing address

7206 NE 182ND ST APT 307
KENMORE WA
98028-1836
US

V. Phone/Fax

Practice location:
  • Phone: 206-726-0034
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: