Provider Demographics
NPI:1659046688
Name:HORIUCHI, MEREDITH MEIKO (EAMP, LAC)
Entity Type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:MEIKO
Last Name:HORIUCHI
Suffix:
Gender:F
Credentials:EAMP, LAC
Other - Prefix:DR
Other - First Name:MEREDITH
Other - Middle Name:MEIKO
Other - Last Name:HILTBRAND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:EAMP, LAC
Mailing Address - Street 1:4457 E MERCER WAY
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-3827
Mailing Address - Country:US
Mailing Address - Phone:650-906-0708
Mailing Address - Fax:
Practice Address - Street 1:2825 80TH AVE SE
Practice Address - Street 2:
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-2985
Practice Address - Country:US
Practice Address - Phone:206-466-1024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-11
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC61111554171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist