Healthcare Provider Details

I. General information

NPI: 1104414275
Provider Name (Legal Business Name): CENTER FOR WHOLISTIC MEDICINE WENATCHEE ACUPUNCTURE CLINIC INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2021
Last Update Date: 01/21/2021
Certification Date: 01/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 S MISSION ST
WENATCHEE WA
98801-3044
US

IV. Provider business mailing address

310 S MISSION ST
WENATCHEE WA
98801-3044
US

V. Phone/Fax

Practice location:
  • Phone: 509-663-4365
  • Fax: 509-665-3869
Mailing address:
  • Phone: 509-663-4365
  • Fax: 509-665-3869

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: WENDY TURNER
Title or Position: OFFICE MANAGER
Credential:
Phone: 703-909-6885