Provider Demographics
NPI:1396814471
Name:MEN, BEIJING (EAMP (LAC))
Entity Type:Individual
Prefix:
First Name:BEIJING
Middle Name:
Last Name:MEN
Suffix:
Gender:M
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 1:10212 5TH AVE NE
Mailing Address - Street 2:140
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-7452
Mailing Address - Country:US
Mailing Address - Phone:206-440-1634
Mailing Address - Fax:206-374-8202
Practice Address - Street 1:10212 5TH AVE NE
Practice Address - Street 2:140
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-7452
Practice Address - Country:US
Practice Address - Phone:206-440-1634
Practice Address - Fax:206-374-8202
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00000199171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist