MEDICARE: SWISS ACUPUNCTURE

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	UBI 603 454 771	WA

General Provider Information

NPI Number	:	1790170793
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SWISS ACUPUNCTURE

Provider Business Mailing Address
First Line	:	16510 CLEVELAND ST
Second Line	:	#O
City	:	REDMOND
State	:	WA
Zip	:	98052-4439
Country	:	US
Telephone Number	:	206-201-1161
Fax Number	:

Provider Business Practice Location Address
First Line	:	16510 CLEVELAND ST
Second Line	:	#O
City	:	REDMOND
State	:	WA
Zip	:	98052-4439
Country	:	US
Telephone Number	:	206-201-1161
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER/ACUPUNCTURIST
Name	:	THUY GINGER NGUYEN
Credential	:	EAMP, LAC
Telephone Number	:	206-201-1161

Provider Enumeration Date	:	04/06/2015
Last Update Date	:	11/29/2016

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