Provider Demographics
NPI:1841565314
Name:CUNNINGHAM, CLAIRE HEATHER (LAC)
Entity Type:Individual
Prefix:MS
First Name:CLAIRE
Middle Name:HEATHER
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14326 GREENWOOD AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-6813
Mailing Address - Country:US
Mailing Address - Phone:206-335-1839
Mailing Address - Fax:
Practice Address - Street 1:14326 GREENWOOD AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-6813
Practice Address - Country:US
Practice Address - Phone:206-335-1839
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-17
Last Update Date:2012-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00002718171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist