Provider Demographics
NPI:1568640498
Name:WOO, MICHAEL (ND, LAC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:WOO
Suffix:
Gender:M
Credentials:ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2320 130TH AVE NE
Mailing Address - Street 2:STE #120
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-1752
Mailing Address - Country:US
Mailing Address - Phone:425-250-3095
Mailing Address - Fax:425-250-3095
Practice Address - Street 1:2320 130TH AVE NE
Practice Address - Street 2:STE #120
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-1752
Practice Address - Country:US
Practice Address - Phone:425-250-3095
Practice Address - Fax:425-250-3097
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-01
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC 383171100000X
WANT 793175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist