Provider Demographics
NPI:1043498785
Name:POE, BARBARA SUE (RN, LAC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:SUE
Last Name:POE
Suffix:
Gender:F
Credentials:RN, LAC
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:SUE
Other - Last Name:POE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN, LAC
Mailing Address - Street 1:1926 HOOD AVE
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99354-2232
Mailing Address - Country:US
Mailing Address - Phone:509-946-5208
Mailing Address - Fax:
Practice Address - Street 1:1926 HOOD AVE
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99354-2232
Practice Address - Country:US
Practice Address - Phone:509-946-5208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC0000107171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist