MEDICARE: KRISTINA L STODDARD L.AC.

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	AC00002112	WA

General Provider Information

NPI Number	:	1528103264
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTINA L STODDARD L.AC.

Provider Business Mailing Address
First Line	:	5070 HAROLD PL NE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98105-2809
Country	:	US
Telephone Number	:	206-335-0895
Fax Number	:

Provider Business Practice Location Address
First Line	:	8800 ROOSEVELT WAY NE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98115-3042
Country	:	US
Telephone Number	:	206-335-0895
Fax Number	:

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

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	04/22/2025

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