Provider Demographics
NPI:1528204757
Name:DARLING, JAMES RAY (LAC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:RAY
Last Name:DARLING
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1016 SE GRACE AVE
Mailing Address - Street 2:
Mailing Address - City:BATTLE GROUND
Mailing Address - State:WA
Mailing Address - Zip Code:98604-8376
Mailing Address - Country:US
Mailing Address - Phone:360-666-8769
Mailing Address - Fax:
Practice Address - Street 1:1016 SE GRACE AVE
Practice Address - Street 2:
Practice Address - City:BATTLE GROUND
Practice Address - State:WA
Practice Address - Zip Code:98604-8376
Practice Address - Country:US
Practice Address - Phone:360-666-8769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-17
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC 00003063171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist