Provider Demographics
NPI:1497153597
Name:NORTHWEST ACUPUNCTURE, PS
Entity Type:Organization
Organization Name:NORTHWEST ACUPUNCTURE, PS
Other - Org Name:ACUPUNCTURE NORTHWEST & ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GIANARELLI
Authorized Official - Suffix:
Authorized Official - Credentials:EAMP
Authorized Official - Phone:206-332-0868
Mailing Address - Street 1:509 OLIVE WAY STE 1258
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-1765
Mailing Address - Country:US
Mailing Address - Phone:206-332-0868
Mailing Address - Fax:206-332-1801
Practice Address - Street 1:509 OLIVE WAY STE 1258
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-1765
Practice Address - Country:US
Practice Address - Phone:206-332-0868
Practice Address - Fax:206-332-1801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-05
Last Update Date:2014-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA619171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty