Provider Demographics
NPI:1114270048
Name:VOWELL, MICHELLE L (L AC)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:L
Last Name:VOWELL
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20225 BOTHELL EVERETT HWY APT 2036
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98012-8198
Mailing Address - Country:US
Mailing Address - Phone:425-877-0662
Mailing Address - Fax:
Practice Address - Street 1:16521 13TH AVE W STE 105
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98037-8530
Practice Address - Country:US
Practice Address - Phone:425-877-0662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-16
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60193515171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist