Provider Demographics
NPI:1578273850
Name:SAKWORAKUL, SAOWALAK (AC61375721)
Entity Type:Individual
Prefix:
First Name:SAOWALAK
Middle Name:
Last Name:SAKWORAKUL
Suffix:
Gender:F
Credentials:AC61375721
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 OLIVE WAY STE 831
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-1769
Mailing Address - Country:US
Mailing Address - Phone:425-615-6990
Mailing Address - Fax:
Practice Address - Street 1:509 OLIVE WAY STE 831
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-1769
Practice Address - Country:US
Practice Address - Phone:425-615-6990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-28
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist