MEDICARE: DR. ANNETTE MARIE SACKSTEDER ND, EAMP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AC 60178327	WA
2	175F00000X	Naturopath	NT 60178341	WA

General Provider Information

NPI Number	:	1194023812
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNETTE MARIE SACKSTEDER ND, EAMP

Provider Business Mailing Address
First Line	:	7511 GREENWOOD AVE N # 413
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-4627
Country	:	US
Telephone Number	:	206-528-1088
Fax Number	:	206-528-3722

Provider Business Practice Location Address
First Line	:	7511 GREENWOOD AVE N # 413
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-4627
Country	:	US
Telephone Number	:	206-528-1088
Fax Number	:	206-528-3722

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2011
Last Update Date	:	06/12/2026

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