Provider Demographics
NPI:1346731072
Name:DAWN FLYNN, ND, LAC
Entity Type:Organization
Organization Name:DAWN FLYNN, ND, LAC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:FLYNN
Authorized Official - Suffix:
Authorized Official - Credentials:ND, EAMP
Authorized Official - Phone:206-330-8490
Mailing Address - Street 1:451 SW 10TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-2981
Mailing Address - Country:US
Mailing Address - Phone:206-330-8490
Mailing Address - Fax:206-512-3161
Practice Address - Street 1:451 SW 10TH ST STE 100
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-2981
Practice Address - Country:US
Practice Address - Phone:206-330-8490
Practice Address - Fax:206-512-3161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-29
Last Update Date:2018-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00002747171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty