Provider Demographics
NPI:1245543644
Name:ACUPUNCTURE IN VANCOUVER INC.
Entity type:Organization
Organization Name:ACUPUNCTURE IN VANCOUVER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITCHURCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-998-4014
Mailing Address - Street 1:615 SE CHKALOV DR
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-5279
Mailing Address - Country:US
Mailing Address - Phone:360-885-1767
Mailing Address - Fax:
Practice Address - Street 1:615 SE CHKALOV DR
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-5279
Practice Address - Country:US
Practice Address - Phone:360-885-1767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-14
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00002377171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty