Provider Demographics
NPI:1760076921
Name:OKHOTIN, YELENA (ND, LAC)
Entity Type:Individual
Prefix:DR
First Name:YELENA
Middle Name:
Last Name:OKHOTIN
Suffix:
Gender:F
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 1:1501 CALIFORNIA AVE SW APT 302
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116-1663
Mailing Address - Country:US
Mailing Address - Phone:509-750-0961
Mailing Address - Fax:
Practice Address - Street 1:1501 CALIFORNIA AVE SW APT 302
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-1663
Practice Address - Country:US
Practice Address - Phone:509-750-0961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-26
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT61144434175F00000X
WAAC61113831171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No175F00000XOther Service ProvidersNaturopath