Provider Demographics
NPI:1376835165
Name:ALBERDA, ERIN ANGELINE (EAMP, LAC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:ANGELINE
Last Name:ALBERDA
Suffix:
Gender:F
Credentials:EAMP, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2634
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-2634
Mailing Address - Country:US
Mailing Address - Phone:425-780-2147
Mailing Address - Fax:425-740-0474
Practice Address - Street 1:3330 BICKFORD AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98290-9289
Practice Address - Country:US
Practice Address - Phone:425-780-2147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-11
Last Update Date:2014-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60215542171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist