Provider Demographics
NPI:1225257173
Name:HAYES, HYE-JUNG J (LAC)
Entity Type:Individual
Prefix:MRS
First Name:HYE-JUNG
Middle Name:J
Last Name:HAYES
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10564 5TH AVE NE STE 404
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-7200
Mailing Address - Country:US
Mailing Address - Phone:206-522-1509
Mailing Address - Fax:760-268-2111
Practice Address - Street 1:10564 5TH AVE NE STE 404
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-7200
Practice Address - Country:US
Practice Address - Phone:206-522-1509
Practice Address - Fax:760-268-2111
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00002067171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1225257173OtherACUPUNCTURE