Healthcare Provider Details
I. General information
NPI: 1851171391
Provider Name (Legal Business Name): ESSENCE ACUPUNCTURE & CHINESE MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/03/2023
Last Update Date: 09/17/2024
Certification Date: 09/17/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1818 WESTLAKE AVE N STE 402
SEATTLE WA
98109-2707
US
IV. Provider business mailing address
4051 NE 109TH ST
SEATTLE WA
98125-7933
US
V. Phone/Fax
- Phone: 206-487-3088
- Fax: 415-851-7060
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
YING
ZHANG
Title or Position: BUSINESS OWNER
Credential: LAC
Phone: 425-246-4258