Provider Demographics
NPI:1689096661
Name:CHOI, BEAN (ND, EAMP)
Entity Type:Individual
Prefix:DR
First Name:BEAN
Middle Name:
Last Name:CHOI
Suffix:
Gender:F
Credentials:ND, EAMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18537 1ST AVE S
Mailing Address - Street 2:SUITE B
Mailing Address - City:NORMANDY PARK
Mailing Address - State:WA
Mailing Address - Zip Code:98148-1888
Mailing Address - Country:US
Mailing Address - Phone:206-659-8822
Mailing Address - Fax:
Practice Address - Street 1:18537 1ST AVE S
Practice Address - Street 2:SUITE B
Practice Address - City:NORMANDY PARK
Practice Address - State:WA
Practice Address - Zip Code:98148-1888
Practice Address - Country:US
Practice Address - Phone:206-659-8822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-10
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60434445171100000X
WANT 60434465175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist