Provider Demographics
NPI:1235287533
Name:ARISS, JOY C (LAC)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:C
Last Name:ARISS
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 1:8508 MARY AVE NW APT 100
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98117-3454
Mailing Address - Country:US
Mailing Address - Phone:206-853-3906
Mailing Address - Fax:206-382-9933
Practice Address - Street 1:509 OLIVE WAY
Practice Address - Street 2:1315
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-1720
Practice Address - Country:US
Practice Address - Phone:206-382-9977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00002175171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist