Provider Demographics
NPI:1023259173
Name:HUSS, DONNA RUTH (LAC)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:RUTH
Last Name:HUSS
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 1:22811 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SAMMAMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98074-7203
Mailing Address - Country:US
Mailing Address - Phone:425-301-5209
Mailing Address - Fax:
Practice Address - Street 1:545 RAINIER BLVD N
Practice Address - Street 2:STE 6
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-2806
Practice Address - Country:US
Practice Address - Phone:425-301-5209
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-19
Last Update Date:2009-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00003092171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist