Provider Demographics
NPI:1942846530
Name:JESPERSEN, KARIN (EAMP, DAHM)
Entity Type:Individual
Prefix:
First Name:KARIN
Middle Name:
Last Name:JESPERSEN
Suffix:
Gender:F
Credentials:EAMP, DAHM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 E HARRISON ST APT 201
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-5280
Mailing Address - Country:US
Mailing Address - Phone:612-666-4007
Mailing Address - Fax:
Practice Address - Street 1:100 WALL ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98121-1423
Practice Address - Country:US
Practice Address - Phone:253-693-0591
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-19
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60999603171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist