Provider Demographics
NPI:1497144380
Name:POWERS, KAREN (LAC, EAMP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:POWERS
Suffix:
Gender:F
Credentials:LAC, EAMP
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:KOERNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 35
Mailing Address - Street 2:
Mailing Address - City:ACME
Mailing Address - State:WA
Mailing Address - Zip Code:98220-0035
Mailing Address - Country:US
Mailing Address - Phone:360-296-6633
Mailing Address - Fax:
Practice Address - Street 1:12 BELLWETHER WAY
Practice Address - Street 2:SUITE 219
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-2959
Practice Address - Country:US
Practice Address - Phone:360-296-6633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-15
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAACUP.AC. 60532130171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist