Provider Demographics
NPI:1790170793
Name:SWISS ACUPUNCTURE
Entity Type:Organization
Organization Name:SWISS ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER/ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:THUY
Authorized Official - Middle Name:GINGER
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:EAMP, LAC
Authorized Official - Phone:206-201-1161
Mailing Address - Street 1:16510 CLEVELAND ST
Mailing Address - Street 2:#O
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-4439
Mailing Address - Country:US
Mailing Address - Phone:206-201-1161
Mailing Address - Fax:
Practice Address - Street 1:16510 CLEVELAND ST
Practice Address - Street 2:#O
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-4439
Practice Address - Country:US
Practice Address - Phone:206-201-1161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-06
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAUBI 603 454 771171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty