Provider Demographics
NPI:1235577040
Name:COMMUNITY ACUPUNCTURE PROJECT
Entity Type:Organization
Organization Name:COMMUNITY ACUPUNCTURE PROJECT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SONJA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIVESIND
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:206-933-7891
Mailing Address - Street 1:4545 44TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116-4116
Mailing Address - Country:US
Mailing Address - Phone:206-933-7891
Mailing Address - Fax:
Practice Address - Street 1:4545 44TH AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-4116
Practice Address - Country:US
Practice Address - Phone:206-933-7891
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-13
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60069722251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health