Provider Demographics
NPI:1891139242
Name:COMMUNITY ACUPUNCTURE PROJECT
Entity Type:Organization
Organization Name:COMMUNITY ACUPUNCTURE PROJECT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SONJA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIVESIND
Authorized Official - Suffix:
Authorized Official - Credentials:EAMP, LAC
Authorized Official - Phone:206-760-6064
Mailing Address - Street 1:3811 S FERDINAND ST APT B
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-1759
Mailing Address - Country:US
Mailing Address - Phone:206-760-6064
Mailing Address - Fax:
Practice Address - Street 1:3811 S FERDINAND ST APT B
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-1759
Practice Address - Country:US
Practice Address - Phone:206-760-6064
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-28
Last Update Date:2013-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center