Provider Demographics
NPI:1568710648
Name:MICHEL, JANET RAY (EAMP)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:RAY
Last Name:MICHEL
Suffix:
Gender:F
Credentials:EAMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6718 22ND AVE NW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98117-5726
Mailing Address - Country:US
Mailing Address - Phone:206-310-3272
Mailing Address - Fax:206-781-9003
Practice Address - Street 1:6717 GREENWOOD AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-5225
Practice Address - Country:US
Practice Address - Phone:206-310-3272
Practice Address - Fax:206-781-9003
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-21
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00001975171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist