MEDICARE: WASHOUGAL ACUPUNCTURE AND MASSAGE, LLC

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 60619873	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902154974
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WASHOUGAL ACUPUNCTURE AND MASSAGE, LLC

Provider Business Mailing Address
First Line	:	1436 A ST
Second Line	:	STE 105
City	:	WASHOUGAL
State	:	WA
Zip	:	98671-2378
Country	:	US
Telephone Number	:	360-207-0134
Fax Number	:	360-208-0520

Provider Business Practice Location Address
First Line	:	1436 A ST
Second Line	:	STE 105
City	:	WASHOUGAL
State	:	WA
Zip	:	98671-2378
Country	:	US
Telephone Number	:	360-207-0134
Fax Number	:	360-208-0520

Authorized Official
Title or Position	:	OWNER
Name	:	JEFF PHILIP OLSON
Credential	:
Telephone Number	:	503-367-7823

Provider Enumeration Date	:	08/24/2012
Last Update Date	:	01/19/2016

Similar Medicare Providers

1679537872 — JEFF OLSON L.AC., MACOM
Practice Location Address:

1436 A ST , SUITE 105
WASHOUGAL, WA
98671-2378

Practice Phone: 360-207-0134
Practice Fax:

1265796569 — JENNIFER JILL PARIERA LCSW
Practice Location Address:

1037 E STREET
WASHOUGAL, WA
98671

Practice Phone: 360-787-1414
Practice Fax:

1053433565 — YVONNE GEE MPT
Practice Location Address:

3007 SE 313TH AVE
WASHOUGAL, WA
98671-9230

Practice Phone: 510-209-3613
Practice Fax:

1205837929 — DR. MICHAEL DORNBUSCH D.C.
Practice Location Address:

3307 EVERGREEN WAY , SUITE 601
WASHOUGAL, WA
98671-2062

Practice Phone: 360-835-9981
Practice Fax: 360-835-5765

1629049705 — ELIZABETH M COOK FNP
Practice Location Address:

291 C ST UNIT 110
WASHOUGAL, WA
98671-2168

Practice Phone: 360-882-2778
Practice Fax: 360-604-1644

1255391868 — DR. CYNTHIA RHEA LEWIS-YOUNGER MD, MPH
Practice Location Address:

121 HILLTOP RD
WASHOUGAL, WA
98671

Practice Phone: 813-321-9776
Practice Fax: 813-246-4654

Directions to “WASHOUGAL ACUPUNCTURE AND MASSAGE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.